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ICD-10 Guide
ICD-10 CodesH93.223

H93.223

Billable

Diplacusis, bilateral

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

Code Description

ICD-10 H93.223 is a billable code used to indicate a diagnosis of diplacusis, bilateral.

Key Diagnostic Point:

Diplacusis is a type of auditory perception disorder characterized by the perception of a single sound as two distinct pitches. When bilateral, it affects both ears, leading to a dissonance in sound perception that can significantly impact communication and quality of life. This condition often arises from underlying auditory system dysfunctions, such as sensorineural hearing loss, otitis media, or vestibular disorders. Patients may report difficulty in distinguishing sounds, particularly in noisy environments, and may experience auditory fatigue. The clinical presentation can vary, with some individuals experiencing mild symptoms while others may find it debilitating. Diagnosis typically involves audiometric testing, including pure-tone audiometry and speech discrimination tests, to assess the degree of hearing loss and the presence of diplacusis. Management may include hearing aids, auditory training, or addressing the underlying causes, such as treating otitis media or other ear conditions. Understanding the nuances of this condition is crucial for accurate coding and effective treatment planning.

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 clearly indicate bilateral involvement.
  • Potential overlap with other codes related to hearing loss.

Audit Risk Factors

  • Inadequate documentation of bilateral symptoms.
  • Failure to provide supporting audiometric test results.
  • Misclassification of the condition as unilateral.
  • Lack of clarity in the treatment plan related to diplacusis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric evaluations and clinical notes describing symptoms and treatment plans.

Common Clinical Scenarios

Patients presenting with hearing difficulties, tinnitus, or after ear infections.

Billing Considerations

Ensure clear documentation of bilateral symptoms and any associated conditions.

Audiology

Documentation Requirements

Comprehensive audiological assessments and patient history.

Common Clinical Scenarios

Patients undergoing hearing evaluations for suspected diplacusis.

Billing Considerations

Accurate reporting of test results and patient feedback on sound perception.

Coding Guidelines

Inclusion Criteria

Use H93.223 When
  • According to ICD
  • 10 guidelines, H93
  • 223 should be used when bilateral diplacusis is confirmed through clinical evaluation and audiometric testing
  • It is essential to document the nature of the auditory symptoms and any related conditions

Exclusion Criteria

Do NOT use H93.223 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 with suspected diplacusis.

Documentation Requirements

Detailed report of audiometric findings and patient history.

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 conditions and outcomes, enhancing patient care and research.

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 conditions and outcomes, enhancing patient care and research.

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 the primary cause of bilateral diplacusis?

Bilateral diplacusis can arise from various factors, including sensorineural hearing loss, otitis media, and other auditory processing disorders. It is essential to evaluate the underlying causes to determine appropriate management.