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ICD-10 Guide
ICD-10 CodesH93.213

H93.213

Billable

Auditory recruitment, bilateral

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

Code Description

ICD-10 H93.213 is a billable code used to indicate a diagnosis of auditory recruitment, bilateral.

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 their intensity increases. In bilateral auditory recruitment, this condition affects both ears, leading to difficulties in understanding speech, especially in noisy environments. Patients may report that sounds become uncomfortably loud at relatively low volumes, which can significantly impact communication and quality of life. This condition is commonly seen in individuals with presbycusis (age-related hearing loss) or noise-induced hearing loss. 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 or cochlear implants, which can help mitigate the effects of recruitment by amplifying sounds in a way that is more comfortable for the patient. Additionally, auditory rehabilitation strategies may be employed to improve communication skills and coping mechanisms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of auditory physiology and pathology.
  • Differentiation from other types of hearing loss.
  • Need for comprehensive audiometric evaluation.
  • Potential overlap with other auditory disorders.

Audit Risk Factors

  • Inadequate documentation of audiometric findings.
  • Failure to specify bilateral involvement.
  • Misdiagnosis or coding of related conditions.
  • Lack of clear treatment plans in medical records.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations, patient history, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of bilateral symptoms and treatment responses.

Audiology

Documentation Requirements

Comprehensive audiological assessments and patient counseling notes.

Common Clinical Scenarios

Patients undergoing hearing assessments and fitting of hearing aids.

Billing Considerations

Document specific audiometric thresholds and recruitment patterns.

Coding Guidelines

Inclusion Criteria

Use H93.213 When
  • According to ICD
  • 10 coding guidelines, H93
  • 213 should be used when bilateral auditory recruitment is confirmed through audiometric testing
  • It is important to document the patient's history, symptoms, and any relevant diagnostic tests performed

Exclusion Criteria

Do NOT use H93.213 When
  • Exclusion criteria include conditions that do not involve recruitment or are unilateral in nature

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when assessing a patient for auditory recruitment.

Documentation Requirements

Document all test results and patient responses.

Specialty Considerations

Otolaryngologists and audiologists should ensure thorough documentation of findings.

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 resource allocation for hearing loss management.

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 resource allocation for hearing loss management.

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 resource allocation for hearing loss management.

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 auditory recruitment?

Auditory recruitment is a condition where sounds become disproportionately loud as their intensity increases, often seen in patients with sensorineural hearing loss.

How is bilateral auditory recruitment diagnosed?

It is diagnosed through audiometric testing that shows abnormal loudness perception in both ears, typically alongside a history of hearing loss.