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ICD-10 Guide
ICD-10 CodesH83.90

H83.90

Billable

Unspecified disease of inner ear, unspecified ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H83.90 is a billable code used to indicate a diagnosis of unspecified disease of inner ear, unspecified ear.

Key Diagnostic Point:

The ICD-10 code H83.90 refers to an unspecified disease of the inner ear, affecting an unspecified ear. This code is used when a patient presents with symptoms related to inner ear dysfunction, such as hearing loss, balance issues, or tinnitus, but the specific disease or condition affecting the inner ear cannot be determined. Common conditions that may fall under this category include vestibular disorders, labyrinthitis, and Meniere's disease, among others. Patients may experience a range of symptoms, including vertigo, dizziness, and fluctuating hearing loss. Diagnostic evaluation typically involves audiometric testing, imaging studies, and vestibular function tests to rule out specific conditions. Management may include medical therapy, physical therapy for vestibular rehabilitation, or surgical interventions if indicated. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in the diagnosis
  • Variability in clinical presentation
  • Overlap with other ear conditions
  • Need for comprehensive documentation

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Failure to specify the affected ear
  • Inconsistent use of related codes
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, audiometric test results, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with unexplained hearing loss, vertigo, or tinnitus.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the use of H83.90.

Neurology

Documentation Requirements

Neurological examination findings, history of balance issues, and any relevant imaging results.

Common Clinical Scenarios

Patients with vestibular migraines or unexplained dizziness.

Billing Considerations

Document any neurological assessments that may differentiate between inner ear and central causes of symptoms.

Coding Guidelines

Inclusion Criteria

Use H83.90 When
  • According to the official coding guidelines, H83
  • 90 should be used when the specific disease of the inner ear is not documented
  • Coders should ensure that all relevant clinical information is captured to support the use of this code
  • It is important to note that if a more specific diagnosis is later determined, the coder should update the code accordingly

Exclusion Criteria

Do NOT use H83.90 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with hearing loss and symptoms suggestive of inner ear disease.

Documentation Requirements

Audiometric test results and clinical findings must be documented.

Specialty Considerations

Otolaryngologists should ensure that all relevant tests are included in the report.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of ear diseases, but it has also introduced complexity with unspecified codes like H83.90. Coders must be diligent in ensuring that documentation supports the use of this code to avoid denials and audits.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of ear diseases, but it has also introduced complexity with unspecified codes like H83.90. Coders must be diligent in ensuring that documentation supports the use of this code to avoid denials and audits.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use H83.90?

H83.90 should be used when a patient presents with symptoms of inner ear disease, but the specific condition cannot be determined. Ensure that all relevant clinical information is documented.