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ICD-10 Guide
ICD-10 CodesH93.222

H93.222

Billable

Diplacusis, left ear

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

Code Description

ICD-10 H93.222 is a billable code used to indicate a diagnosis of diplacusis, left ear.

Key Diagnostic Point:

Diplacusis is a type of auditory perception disorder characterized by the perception of a single sound as two distinct pitches or tones. This condition can occur in one or both ears, but in this case, it specifically affects the left ear. Patients may experience diplacusis due to various underlying conditions, including sensorineural hearing loss, otitis media, or other auditory processing disorders. The clinical presentation may include difficulty in distinguishing sounds, particularly in noisy environments, and a sense of distortion in hearing. Diagnostic criteria typically involve a comprehensive audiological evaluation, including pure-tone audiometry and speech discrimination tests, to assess the degree and type of hearing loss. Management may include hearing aids, auditory rehabilitation, or addressing the underlying cause, such as treating an ear infection or other auditory pathology. Understanding the nuances of this condition is essential for accurate coding and appropriate patient management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of auditory disorders and their implications.
  • Differentiation from other hearing disorders can be challenging.
  • Documentation must specify the affected ear and nature of the condition.
  • Potential overlap with other codes related to hearing loss.

Audit Risk Factors

  • Inadequate documentation of audiological evaluations.
  • Failure to specify the affected ear.
  • Misinterpretation of symptoms leading to incorrect coding.
  • Lack of clarity on the underlying cause of diplacusis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments and clinical notes on the patient's hearing history.

Common Clinical Scenarios

Patients presenting with hearing loss, tinnitus, or ear infections.

Billing Considerations

Ensure documentation reflects the specific nature of hearing disturbances and any treatments provided.

Audiology

Documentation Requirements

Comprehensive audiometric test results and patient history.

Common Clinical Scenarios

Patients undergoing hearing evaluations for various auditory complaints.

Billing Considerations

Focus on the interpretation of audiological data and its correlation with patient symptoms.

Coding Guidelines

Inclusion Criteria

Use H93.222 When
  • According to ICD
  • 10 guidelines, H93
  • 222 should be used when a patient presents with diplacusis specifically affecting the left ear
  • It is essential to document the clinical findings and any relevant audiological assessments to support the diagnosis

Exclusion Criteria

Do NOT use H93.222 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 a patient presenting with diplacusis.

Documentation Requirements

Audiometric test results and clinical notes detailing the patient's auditory complaints.

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 disorders, including diplacusis. 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 disorders, including diplacusis. This specificity aids in better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

reimbursement.

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 diplacusis?

Diplacusis is a hearing disorder where a single sound is perceived as two different pitches or tones, often affecting the ability to distinguish sounds clearly.

How is diplacusis diagnosed?

Diagnosis typically involves a comprehensive audiological evaluation, including pure-tone audiometry and speech discrimination tests, to assess the nature and extent of the hearing disturbance.

What are the common causes of diplacusis?

Common causes include sensorineural hearing loss, otitis media, and other auditory processing disorders that affect sound perception.

What treatments are available for diplacusis?

Treatment options may include hearing aids, auditory rehabilitation, or addressing underlying conditions such as infections or structural abnormalities in the ear.