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v1.0.0
ICD-10 Guide
ICD-10 CodesH93.21

H93.21

Billable

Auditory recruitment

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

Code Description

ICD-10 H93.21 is a billable code used to indicate a diagnosis of auditory recruitment.

Key Diagnostic Point:

Auditory recruitment is a phenomenon observed in individuals with sensorineural hearing loss, characterized by an abnormal increase in perceived loudness of sounds as their intensity increases. This condition often occurs due to damage to the inner ear or auditory pathways, leading to a reduced dynamic range of hearing. Patients may experience difficulty in understanding speech, particularly in noisy environments, as they may perceive background noise as excessively loud while struggling to hear softer sounds. The clinical presentation can vary, with patients reporting a sensation of fullness in the ears, tinnitus, and fluctuating hearing levels. Diagnosis typically involves audiometric testing, including pure-tone audiometry and speech recognition tests, to assess the degree of hearing loss and the presence of recruitment. Management may include hearing aids, auditory training, or cochlear implants, depending on the severity of the hearing loss and the patient's specific needs. Understanding auditory recruitment is crucial for audiologists and otolaryngologists in tailoring appropriate interventions and improving patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and severity of symptoms
  • Need for comprehensive audiometric testing for accurate diagnosis
  • Potential overlap with other hearing loss conditions
  • Documentation of patient history and symptomatology

Audit Risk Factors

  • Inadequate documentation of audiometric test results
  • Failure to document the patient's history of hearing loss
  • Misclassification of the type of hearing loss
  • Lack of clarity in treatment plans and follow-up

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed patient history, audiometric test results, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with sudden hearing loss, tinnitus, or difficulty understanding speech.

Billing Considerations

Ensure that all relevant diagnostic tests are included in the documentation to support the use of H93.21.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes should be documented.

Common Clinical Scenarios

Patients undergoing hearing assessments for suspected auditory recruitment.

Billing Considerations

Documenting the specifics of the recruitment phenomenon observed during testing is crucial.

Coding Guidelines

Inclusion Criteria

Use H93.21 When
  • According to the official coding guidelines, H93
  • 21 should be used when auditory recruitment is specifically diagnosed and documented
  • It is important to ensure that the condition is not a symptom of another underlying issue, such as otitis media or vestibular disorders

Exclusion Criteria

Do NOT use H93.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used during the evaluation of auditory recruitment.

Documentation Requirements

Document all test results and patient responses during the evaluation.

Specialty Considerations

Audiologists should ensure that the evaluation includes specific tests for recruitment.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of auditory conditions, including auditory recruitment, facilitating better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of auditory conditions, including auditory recruitment, facilitating better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of auditory conditions, including auditory recruitment, facilitating better tracking of patient outcomes and treatment efficacy.

Resources

Clinical References

  • •
    American Academy of Audiology

Coding & Billing References

  • •
    American Academy of Audiology

Frequently Asked Questions

What is auditory recruitment?

Auditory recruitment is an abnormal increase in perceived loudness of sounds in individuals with sensorineural hearing loss, affecting their ability to hear in noisy environments.

How is auditory recruitment diagnosed?

Diagnosis is made through audiometric testing, which assesses the dynamic range of hearing and identifies the presence of recruitment.

What are the treatment options for auditory recruitment?

Management may include hearing aids, cochlear implants, or auditory training, tailored to the individual's specific hearing loss and needs.