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ICD-10 Guide
ICD-10 CodesH93.11

H93.11

Billable

Tinnitus, right ear

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

Code Description

ICD-10 H93.11 is a billable code used to indicate a diagnosis of tinnitus, right ear.

Key Diagnostic Point:

Tinnitus is characterized by the perception of sound when no external sound is present, often described as ringing, buzzing, or hissing in the ears. When classified as H93.11, it specifically refers to tinnitus occurring in the right ear. This condition can arise from various underlying causes, including exposure to loud noises, ear infections, age-related hearing loss, and certain medications. Clinically, patients may report a constant or intermittent sound that can vary in intensity and may be accompanied by hearing loss or other auditory disturbances. Diagnosis typically involves a thorough patient history, audiometric testing, and possibly imaging studies to rule out structural abnormalities. Management strategies may include sound therapy, cognitive behavioral therapy, and addressing any underlying conditions. In some cases, referral to an audiologist or otolaryngologist may be necessary for specialized care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between subjective and objective tinnitus
  • Identifying underlying causes such as otitis media or acoustic neuroma
  • Potential overlap with other auditory conditions like hearing loss
  • Variability in patient presentation and symptom severity

Audit Risk Factors

  • Inadequate documentation of the patient's history and symptoms
  • Failure to document the results of audiometric testing
  • Misclassification of tinnitus as a symptom of another condition
  • Lack of clarity on the duration and severity of symptoms

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed patient history, audiometric test results, and any imaging studies performed.

Common Clinical Scenarios

Patients presenting with tinnitus following an upper respiratory infection or exposure to loud noise.

Billing Considerations

Ensure documentation reflects the impact of tinnitus on the patient's quality of life and any associated hearing loss.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing hearing assessments for tinnitus management.

Billing Considerations

Document the specific characteristics of tinnitus and any interventions provided.

Coding Guidelines

Inclusion Criteria

Use H93.11 When
  • According to ICD
  • 10 guidelines, H93
  • 11 should be used when the primary complaint is tinnitus localized to the right ear
  • It is essential to document any associated conditions or symptoms that may influence treatment

Exclusion Criteria

Do NOT use H93.11 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 tinnitus to assess hearing function.

Documentation Requirements

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

Specialty Considerations

Otolaryngologists and audiologists should ensure that the evaluation is thorough and includes patient-reported outcomes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of tinnitus, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of tinnitus, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of tinnitus, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the difference between H93.11 and H93.10?

H93.11 specifies tinnitus in the right ear, while H93.10 is used for unspecified tinnitus, which does not indicate laterality.