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ICD-10 Guide
ICD-10 CodesH83.93

H83.93

Billable

Unspecified disease of inner ear, bilateral

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

Code Description

ICD-10 H83.93 is a billable code used to indicate a diagnosis of unspecified disease of inner ear, bilateral.

Key Diagnostic Point:

The code H83.93 refers to an unspecified disease of the inner ear affecting both ears. This condition encompasses a variety of disorders that can impact hearing and balance, including but not limited to vestibular dysfunction, sensorineural hearing loss, and labyrinthitis. Patients may present with symptoms such as dizziness, tinnitus, and fluctuating hearing loss. The inner ear is crucial for both auditory and vestibular functions, and diseases affecting this area can lead to significant impairment in quality of life. Diagnosis typically involves a thorough clinical evaluation, including audiometric testing, vestibular function tests, and imaging studies when necessary. Management may vary widely depending on the underlying cause, ranging from medical therapy to surgical interventions such as tympanostomy or vestibular rehabilitation. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive diagnostic testing
  • Potential overlap with other ear disorders
  • Lack of specificity in the code itself

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Lack of clear diagnostic criteria
  • Inconsistent use of related codes
  • Failure to document treatment plans

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, audiometric results, and treatment plans.

Common Clinical Scenarios

Patients presenting with dizziness, hearing loss, or tinnitus.

Billing Considerations

Ensure all diagnostic tests and their results are documented to support the diagnosis.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and reports.

Common Clinical Scenarios

Assessment of hearing loss and balance disorders.

Billing Considerations

Document the specific tests performed and their outcomes to justify the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H83.93 When
  • According to ICD
  • 10 guidelines, H83
  • 93 should be used when the specific disease of the inner ear is not documented
  • Coders should ensure that the documentation supports the use of this unspecified code and consider more specific codes if available

Exclusion Criteria

Do NOT use H83.93 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 suspected inner ear disease.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant history.

Specialty Considerations

Otolaryngologists and audiologists should ensure that the evaluation aligns with the diagnosis.

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 the use of unspecified codes like H83.93 can lead to scrutiny if not properly justified.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of ear diseases, but the use of unspecified codes like H83.93 can lead to scrutiny if not properly justified.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of ear diseases, but the use of unspecified codes like H83.93 can lead to scrutiny if not properly justified.

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 H83.93?

Use H83.93 when a patient presents with symptoms of inner ear disease, but the specific diagnosis has not been determined after thorough evaluation.