Ototoxic hearing loss, unspecified ear
ICD-10 H91.09 is a billable code used to indicate a diagnosis of ototoxic hearing loss, unspecified ear.
Ototoxic hearing loss refers to hearing impairment caused by exposure to ototoxic substances, which can include certain medications, chemicals, or environmental factors. This condition can affect one or both ears, but when unspecified, it indicates that the clinician has not determined which ear is affected. Clinically, patients may present with symptoms such as difficulty hearing, tinnitus (ringing in the ears), and balance issues. The diagnosis is often made based on a patient’s history of ototoxic exposure, audiometric testing, and exclusion of other causes of hearing loss. Management typically involves discontinuing the ototoxic agent if possible, providing hearing aids, or considering cochlear implants in severe cases. Regular monitoring of hearing function is essential to assess the progression of hearing loss and to implement timely interventions. The unspecified nature of this code may complicate treatment planning and patient education, as it does not provide clarity on which ear is affected, potentially impacting the choice of interventions.
Detailed history of ototoxic exposure, audiometric test results, and treatment plans.
Patients presenting with sudden hearing loss after medication changes or exposure to chemicals.
Ensure clear documentation of the ear affected and the specific ototoxic agent involved.
Comprehensive audiological evaluations and patient history regarding ototoxic exposure.
Routine assessments of patients on ototoxic medications.
Document changes in hearing thresholds and any recommendations for hearing aids or other interventions.
Used for patients undergoing evaluation for hearing loss suspected to be ototoxic.
Audiometric test results and patient history of ototoxic exposure.
Otolaryngologists and audiologists should ensure thorough documentation of findings.
The primary cause of ototoxic hearing loss is exposure to ototoxic medications, such as certain antibiotics and chemotherapy agents, as well as environmental toxins.
