ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH93.229

H93.229

Billable

Diplacusis, unspecified ear

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

Code Description

ICD-10 H93.229 is a billable code used to indicate a diagnosis of diplacusis, unspecified 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 and is often associated with hearing loss or other auditory disorders. Patients may experience diplacusis due to various underlying conditions, including otitis media, acoustic neuroma, or age-related hearing loss. The clinical presentation may include difficulty in distinguishing sounds, particularly in noisy environments, and a sensation of sounds being out of tune. Diagnosis typically involves a comprehensive audiological evaluation, including pure-tone audiometry and speech discrimination tests, to assess the extent of hearing impairment and the specific nature of the diplacusis. Management may include hearing aids, auditory training, or addressing the underlying cause of the hearing impairment. In cases where surgical intervention is necessary, such as tympanoplasty for chronic otitis media, the management plan should be tailored to the individual patient's needs. Accurate coding of diplacusis is essential for appropriate reimbursement and to reflect the complexity of the patient's auditory condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and underlying causes
  • Need for comprehensive audiological assessment
  • Potential overlap with other hearing disorders
  • Documentation requirements for associated conditions

Audit Risk Factors

  • Inadequate documentation of audiological assessments
  • Failure to specify the ear affected
  • Lack of clarity on the underlying cause of diplacusis
  • Inconsistent coding of associated conditions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological evaluations, patient history, and treatment plans must be documented.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant diagnostic tests and their results are included in the documentation.

Audiology

Documentation Requirements

Comprehensive audiometric test results and patient symptom descriptions.

Common Clinical Scenarios

Patients undergoing hearing assessments for various auditory disorders.

Billing Considerations

Document the specific nature of the diplacusis and any interventions provided.

Coding Guidelines

Inclusion Criteria

Use H93.229 When
  • According to ICD
  • 10 coding guidelines, H93
  • 229 should be used when the specific ear affected is not documented
  • It is important to ensure that the diagnosis is supported by clinical findings and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use H93.229 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when a patient presents with symptoms of diplacusis for evaluation.

Documentation Requirements

Audiometric test results and patient history must be documented.

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

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.

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, often due to underlying auditory processing issues.

How is diplacusis diagnosed?

Diagnosis typically involves a comprehensive audiological evaluation, including pure-tone audiometry and speech discrimination tests.

What are the treatment options for diplacusis?

Treatment may include hearing aids, auditory training, or addressing the underlying cause of the hearing impairment.

Can diplacusis occur in both ears?

Yes, diplacusis can occur in one or both ears, and the specific presentation may vary based on the underlying condition.