Sensorineural hearing loss, bilateral
ICD-10 H90.3 is a billable code used to indicate a diagnosis of sensorineural hearing loss, bilateral.
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.
Detailed audiometric test results, history of hearing loss, and treatment plans.
Evaluation of patients with progressive hearing loss, tinnitus, or balance issues.
Ensure clear documentation of the onset and impact of hearing loss on daily activities.
Comprehensive audiological evaluations and patient history.
Routine hearing assessments, fitting of hearing aids, and follow-up evaluations.
Document the specific type and degree of hearing loss to support coding.
Used to evaluate the degree of hearing loss in patients suspected of having sensorineural hearing loss.
Audiometric test results must be documented in the medical record.
Otolaryngologists and audiologists should ensure thorough documentation of findings.
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.