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ICD-10 Guide
ICD-10 CodesH93.231

H93.231

Billable

Hyperacusis, right ear

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

Code Description

ICD-10 H93.231 is a billable code used to indicate a diagnosis of hyperacusis, right ear.

Key Diagnostic Point:

Hyperacusis is a condition characterized by an increased sensitivity to normal environmental sounds, leading to discomfort or pain. In the case of hyperacusis affecting the right ear, patients may experience heightened auditory perception, where sounds that are typically tolerable become overwhelming or intolerable. This condition can arise from various underlying issues, including noise-induced hearing loss, ear infections, or neurological disorders. Patients may report symptoms such as ear pain, anxiety in noisy environments, and difficulty concentrating due to auditory distractions. Diagnosis typically involves a comprehensive audiological evaluation, including pure-tone audiometry and sound tolerance testing. Management may include sound therapy, counseling, and the use of hearing protection in loud environments. Understanding the etiology of hyperacusis is crucial for effective treatment, as it may be associated with other auditory disorders or psychological conditions. Proper coding is essential for accurate billing and treatment tracking, particularly in distinguishing hyperacusis from other forms of hearing loss or auditory processing disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other auditory disorders such as tinnitus or misophonia.
  • Need for comprehensive audiological assessments to confirm diagnosis.
  • Potential overlap with psychological conditions requiring multidisciplinary documentation.
  • Variability in patient presentation and symptom severity.

Audit Risk Factors

  • Inadequate documentation of audiological evaluations.
  • Failure to specify the affected ear.
  • Misclassification of hyperacusis as a different auditory disorder.
  • Lack of evidence for associated conditions or comorbidities.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments, patient history, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Need for interdisciplinary collaboration with audiologists and psychologists.

Audiology

Documentation Requirements

Comprehensive audiometric testing results and patient symptom descriptions.

Common Clinical Scenarios

Assessment of sound tolerance and recommendations for sound therapy.

Billing Considerations

Importance of documenting the impact of hyperacusis on daily functioning.

Coding Guidelines

Inclusion Criteria

Use H93.231 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's specifics, including the affected ear
  • Include any relevant comorbidities or associated conditions to support the diagnosis

Exclusion Criteria

Do NOT use H93.231 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to assess the degree of hyperacusis and its impact on hearing.

Documentation Requirements

Complete audiometric test results and patient history.

Specialty Considerations

Otolaryngologists and audiologists should collaborate on documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hyperacusis, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperacusis, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hyperacusis, enabling better tracking of the condition and its management. This specificity aids in research and treatment outcomes.

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 hyperacusis?

Hyperacusis is a condition characterized by an abnormal sensitivity to everyday sounds, leading to discomfort or pain. It can significantly impact a person's quality of life.

How is hyperacusis diagnosed?

Diagnosis typically involves a thorough patient history, audiometric testing, and sound tolerance assessments to determine the severity and impact of the condition.

What are common treatments for hyperacusis?

Treatment options may include sound therapy, counseling, and the use of hearing protection in noisy environments to help manage symptoms.