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ICD-10 Guide
ICD-10 CodesH93.019

H93.019

Billable

Transient ischemic deafness, unspecified ear

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

Code Description

ICD-10 H93.019 is a billable code used to indicate a diagnosis of transient ischemic deafness, unspecified ear.

Key Diagnostic Point:

Transient ischemic deafness refers to a temporary loss of hearing due to insufficient blood flow to the auditory structures of the ear. This condition can occur in one or both ears and is often associated with transient ischemic attacks (TIAs) or other vascular issues. Patients may experience sudden onset of hearing loss, which can last from a few minutes to several hours, and is typically reversible. The underlying mechanism involves a temporary reduction in blood supply, leading to ischemia of the cochlea or auditory pathways. Clinical presentation may include unilateral or bilateral hearing loss, tinnitus, and sometimes vertigo. Diagnosis is primarily clinical, supported by patient history and audiometric testing. Management focuses on addressing the underlying vascular issues, which may involve lifestyle modifications, medications to improve blood flow, and monitoring for potential progression to more severe ischemic events. Understanding the transient nature of this condition is crucial for appropriate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Transient nature of the condition can complicate documentation.
  • Requires differentiation from permanent hearing loss codes.
  • Potential overlap with other vascular-related hearing loss codes.
  • Need for precise clinical documentation to support the diagnosis.

Audit Risk Factors

  • Inadequate documentation of transient nature.
  • Failure to link to underlying vascular conditions.
  • Misuse of related codes for permanent hearing loss.
  • Lack of audiometric testing results in the medical record.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric testing results and patient history.

Common Clinical Scenarios

Patients presenting with sudden hearing loss and tinnitus.

Billing Considerations

Ensure clear documentation of transient symptoms and any vascular assessments.

Neurology

Documentation Requirements

Documentation of neurological assessments and vascular evaluations.

Common Clinical Scenarios

Patients with TIAs presenting with hearing loss.

Billing Considerations

Linkage to cerebrovascular events is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use H93.019 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the transient nature of the hearing loss
  • Include any relevant comorbidities and ensure that the diagnosis is supported by clinical findings

Exclusion Criteria

Do NOT use H93.019 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 transient hearing loss.

Documentation Requirements

Audiometric test results must be documented.

Specialty Considerations

Otolaryngologists should ensure thorough documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of transient ischemic deafness, improving the accuracy of patient records and facilitating better management of underlying conditions.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of transient ischemic deafness, improving the accuracy of patient records and facilitating better management of underlying conditions.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of transient ischemic deafness, improving the accuracy of patient records and facilitating better management of underlying conditions.

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

What is the primary cause of transient ischemic deafness?

Transient ischemic deafness is primarily caused by temporary reductions in blood flow to the auditory structures, often linked to vascular conditions such as TIAs.