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ICD-10 Guide
ICD-10 CodesH93.23

H93.23

Billable

Hyperacusis

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

Code Description

ICD-10 H93.23 is a billable code used to indicate a diagnosis of hyperacusis.

Key Diagnostic Point:

Hyperacusis is a condition characterized by an increased sensitivity to normal environmental sounds, which can lead to discomfort or pain. Patients with hyperacusis may experience sounds that are typically perceived as tolerable or even pleasant as overwhelmingly loud or distressing. This condition can arise from various underlying issues, including noise-induced hearing loss, acoustic trauma, or neurological disorders. It is often associated with other auditory conditions such as tinnitus and can significantly impact a patient's quality of life, leading to social withdrawal and anxiety. Diagnosis typically involves a thorough audiological evaluation, including sound tolerance tests and assessments of auditory processing. Management strategies may include sound therapy, counseling, and the use of hearing protection in loud environments. In some cases, addressing the underlying cause, such as treating an ear infection or vestibular disorder, may alleviate symptoms. Understanding the multifaceted nature of hyperacusis is crucial for effective treatment and patient support.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and underlying causes
  • Overlap with other auditory disorders such as tinnitus
  • Need for comprehensive audiological assessments
  • Potential for co-morbid conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of patient symptoms
  • Failure to include audiological test results
  • Misclassification of hyperacusis as a different auditory disorder
  • Lack of clarity on the impact of hyperacusis on daily functioning

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed patient history, audiological test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with sensitivity to sound following ear infections or acoustic trauma.

Billing Considerations

Ensure comprehensive documentation of all auditory assessments and patient-reported outcomes.

Audiology

Documentation Requirements

Results from sound tolerance tests and patient interviews regarding sound sensitivity.

Common Clinical Scenarios

Assessment of patients with hyperacusis in conjunction with tinnitus or hearing loss.

Billing Considerations

Focus on the patient's subjective experience and the impact on their daily life.

Coding Guidelines

Inclusion Criteria

Use H93.23 When
  • According to ICD
  • 10 guidelines, hyperacusis is classified under diseases of the ear and mastoid process
  • It is essential to document the specific nature of the condition, including any associated symptoms or underlying causes

Exclusion Criteria

Do NOT use H93.23 When
  • Exclusion criteria include conditions that do not involve sound sensitivity

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when assessing a patient with hyperacusis to determine sound tolerance levels.

Documentation Requirements

Document all test results and patient responses during the evaluation.

Specialty Considerations

Audiologists should ensure thorough documentation of the patient's auditory history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hyperacusis, improving the accuracy of data collection and treatment planning. It emphasizes the need for detailed documentation and understanding of the condition's complexity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperacusis, improving the accuracy of data collection and treatment planning. It emphasizes the need for detailed documentation and understanding of the condition's complexity.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hyperacusis, improving the accuracy of data collection and treatment planning. It emphasizes the need for detailed documentation and understanding of the condition's complexity.

Resources

Clinical References

  • •
    American Academy of Audiology

Coding & Billing References

  • •
    American Academy of Audiology

Frequently Asked Questions

What is hyperacusis?

Hyperacusis is a condition characterized by an abnormal sensitivity to everyday sounds, leading to discomfort or pain.

How is hyperacusis diagnosed?

Diagnosis typically involves a comprehensive audiological evaluation, including sound tolerance tests and patient interviews.

What are the treatment options for hyperacusis?

Management may include sound therapy, counseling, and addressing any underlying conditions contributing to the sensitivity.

Can hyperacusis occur with other auditory disorders?

Yes, hyperacusis often co-occurs with conditions like tinnitus and noise-induced hearing loss.