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ICD-10 Guide
ICD-10 CodesH93.211

H93.211

Billable

Auditory recruitment, right ear

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

Code Description

ICD-10 H93.211 is a billable code used to indicate a diagnosis of auditory recruitment, right ear.

Key Diagnostic Point:

Auditory recruitment is a phenomenon often associated with sensorineural hearing loss, characterized by an abnormal increase in perceived loudness of sounds as they approach threshold levels. In the right ear, this condition can manifest as difficulty in understanding speech, particularly in noisy environments, and may lead to auditory fatigue. Patients may report that sounds become uncomfortably loud at certain levels, while softer sounds remain inaudible. This condition is typically evaluated through audiometric testing, which may reveal a steeply sloping audiogram indicative of recruitment. Management may include hearing aids or cochlear implants, which can help mitigate the effects of recruitment by amplifying sounds in a way that is more comfortable for the patient. Understanding auditory recruitment is crucial for audiologists and otolaryngologists in developing appropriate treatment plans and improving patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of auditory physiology and pathology.
  • Differentiation from other types of hearing loss.
  • Potential overlap with other auditory disorders.
  • Need for precise audiometric data for accurate coding.

Audit Risk Factors

  • Inadequate documentation of audiometric findings.
  • Failure to specify the affected ear.
  • Misclassification of auditory recruitment as other types of hearing loss.
  • Lack of correlation between diagnosis and treatment provided.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric results, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with sudden hearing loss, difficulty in noisy environments, or complaints of sound distortion.

Billing Considerations

Ensure that the documentation specifies the type of hearing loss and the presence of recruitment.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing hearing assessments for hearing aids or cochlear implants.

Billing Considerations

Accurate audiogram interpretation is critical for coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use H93.211 When
  • According to ICD
  • 10 guidelines, H93
  • 211 should be used when auditory recruitment is specifically noted in the right ear
  • Documentation must support the diagnosis with audiometric data and clinical findings

Exclusion Criteria

Do NOT use H93.211 When
  • Exclusion criteria include other types of hearing loss that do not involve recruitment

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient for auditory recruitment.

Documentation Requirements

Audiometric results must be documented, including thresholds and speech recognition scores.

Specialty Considerations

Audiologists should ensure that all relevant findings are included in the report.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment. This specificity aids in better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment. This specificity aids in better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including auditory recruitment. This specificity aids in 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 a phenomenon where sounds become disproportionately loud as they approach the threshold of hearing, often seen in patients with sensorineural hearing loss.

How is auditory recruitment diagnosed?

It is diagnosed through audiometric testing, which reveals a steeply sloping audiogram and abnormal loudness perception.

What treatments are available for auditory recruitment?

Management may include hearing aids or cochlear implants to help amplify sounds in a comfortable range for the patient.