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ICD-10 Guide
ICD-10 CodesH93.091

H93.091

Billable

Unspecified degenerative and vascular disorders of right ear

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

Code Description

ICD-10 H93.091 is a billable code used to indicate a diagnosis of unspecified degenerative and vascular disorders of right ear.

Key Diagnostic Point:

Unspecified degenerative and vascular disorders of the right ear encompass a range of conditions that affect the ear's structure and function, leading to potential hearing loss, balance issues, and other auditory dysfunctions. These disorders may arise from age-related degeneration, vascular insufficiencies, or other underlying health issues. Patients may present with symptoms such as tinnitus, hearing impairment, or vertigo. Diagnosis typically involves a thorough clinical evaluation, including audiometric testing, imaging studies, and possibly vestibular assessments to determine the extent of the disorder. Management strategies may include medical treatment, hearing aids, or surgical interventions depending on the severity and nature of the disorder. Given the unspecified nature of this code, it is crucial for healthcare providers to document the clinical findings comprehensively to support the diagnosis and any subsequent treatment plans.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the disorder complicates diagnosis.
  • Variety of potential underlying causes requires thorough documentation.
  • Overlap with other ear conditions may lead to coding confusion.
  • Need for precise clinical details to justify the use of this code.

Audit Risk Factors

  • Insufficient documentation of clinical findings.
  • Failure to specify the nature of the degenerative or vascular disorder.
  • Inadequate justification for the use of an unspecified code.
  • Misalignment between diagnosis and treatment provided.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, imaging results, and clinical assessments.

Common Clinical Scenarios

Patients presenting with hearing loss, tinnitus, or balance disorders.

Billing Considerations

Ensure that all findings are documented to support the diagnosis of unspecified disorders.

Audiology

Documentation Requirements

Comprehensive audiological assessments and patient history.

Common Clinical Scenarios

Assessment of patients with suspected auditory dysfunction.

Billing Considerations

Document the specific tests performed and their results to support coding.

Coding Guidelines

Inclusion Criteria

Use H93.091 When
  • According to ICD
  • 10 guidelines, this code should be used when a specific degenerative or vascular disorder of the right ear is not identified
  • Coders should ensure that all relevant clinical information is documented to support the diagnosis

Exclusion Criteria

Do NOT use H93.091 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used for patients undergoing evaluation for hearing loss.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant patient history.

Specialty Considerations

Otolaryngologists and audiologists should ensure that the evaluation aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding, but it has also introduced complexities with unspecified codes. Coders must ensure thorough documentation to justify the use of H93.091.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding, but it has also introduced complexities with unspecified codes. Coders must ensure thorough documentation to justify the use of H93.091.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding, but it has also introduced complexities with unspecified codes. Coders must ensure thorough documentation to justify the use of H93.091.

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

When should I use H93.091?

Use H93.091 when a patient presents with degenerative or vascular disorders of the right ear, and no specific diagnosis can be determined. Ensure that all clinical findings are well-documented.