Unspecified hearing loss, right ear
ICD-10 H91.91 is a billable code used to indicate a diagnosis of unspecified hearing loss, right ear.
Unspecified hearing loss in the right ear refers to a reduction in the ability to hear sounds in the right ear without a specific diagnosis indicating the cause or type of hearing loss. This condition can arise from various etiologies, including age-related changes, noise exposure, ototoxic medications, infections, or trauma. Patients may present with symptoms such as difficulty understanding speech, asking for repetition, or an overall sensation of muffled hearing. Diagnostic evaluation typically includes audiometric testing to assess the degree and type of hearing loss, along with a thorough history and physical examination to rule out underlying conditions such as otitis media, cerumen impaction, or vestibular disorders. Management may involve hearing aids, assistive listening devices, or referral for further evaluation if a specific cause is identified. The unspecified nature of this code indicates that further investigation may be necessary to determine the underlying cause of the hearing loss.
Detailed history of hearing loss, audiometric test results, and any relevant imaging studies.
Patients presenting with gradual hearing loss, sudden hearing loss, or complaints of tinnitus.
Ensure that all potential causes of hearing loss are explored and documented to avoid unspecified coding.
Comprehensive audiological evaluations, including pure-tone audiometry and speech recognition tests.
Routine hearing assessments for patients with risk factors for hearing loss.
Documentation must clearly indicate the need for further evaluation or management recommendations.
Used when a patient presents with hearing loss for evaluation.
Audiometric test results must be documented in the medical record.
Otolaryngologists and audiologists should ensure that the evaluation aligns with the diagnosis.
Use H91.91 when a patient presents with hearing loss in the right ear, and the specific cause or type of hearing loss has not been determined or documented.
