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ICD-10 Guide
ICD-10 CodesH90.3

H90.3

Billable

Sensorineural hearing loss, bilateral

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

Code Description

ICD-10 H90.3 is a billable code used to indicate a diagnosis of sensorineural hearing loss, bilateral.

Key Diagnostic Point:

Sensorineural hearing loss (SNHL) is a type of hearing impairment that occurs due to damage to the inner ear or the auditory nerve pathways from the inner ear to the brain. Bilateral sensorineural hearing loss indicates that both ears are affected. This condition can result from various factors including genetic predisposition, aging (presbycusis), exposure to loud noise, infections, ototoxic medications, and certain diseases such as Meniere's disease. Patients typically present with difficulty hearing soft sounds, understanding speech, especially in noisy environments, and may experience tinnitus. Diagnosis is primarily made through audiometric testing, which assesses the degree and type of hearing loss. Management may include hearing aids, cochlear implants, and rehabilitation services. It is crucial for healthcare providers to document the onset, duration, and impact of the hearing loss on daily activities to ensure appropriate coding and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Need for comprehensive audiometric testing
  • Differentiation from conductive hearing loss
  • Documentation of bilateral involvement

Audit Risk Factors

  • Inadequate documentation of hearing loss severity
  • Failure to specify bilateral involvement
  • Lack of supporting audiometric test results
  • Misclassification of sensorineural vs. conductive hearing loss

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, history of hearing loss, and treatment plans.

Common Clinical Scenarios

Evaluation of patients with progressive hearing loss, tinnitus, or balance issues.

Billing Considerations

Ensure clear documentation of the onset and impact of hearing loss on daily activities.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient history.

Common Clinical Scenarios

Routine hearing assessments, fitting of hearing aids, and follow-up evaluations.

Billing Considerations

Document the specific type and degree of hearing loss to support coding.

Coding Guidelines

Inclusion Criteria

Use H90.3 When
  • According to ICD
  • 10 guidelines, H90
  • 3 should be used when there is clear documentation of bilateral sensorineural hearing loss
  • It is important to include the severity and duration of the hearing loss in the medical record

Exclusion Criteria

Do NOT use H90.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to evaluate the degree of hearing loss in patients suspected of having sensorineural hearing loss.

Documentation Requirements

Audiometric test results must be documented in the medical record.

Specialty Considerations

Otolaryngologists and audiologists should ensure thorough documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hearing loss, including the differentiation between sensorineural and conductive types, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hearing loss, including the differentiation between sensorineural and conductive types, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

impact of hearing loss on the patient's daily life. Treatment plans should also be documented to support the medical necessity of services provided.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the difference between sensorineural and conductive hearing loss?

Sensorineural hearing loss is caused by damage to the inner ear or auditory nerve, while conductive hearing loss is due to problems in the outer or middle ear that prevent sound from being conducted to the inner ear.