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ICD-10 Guide
ICD-10 CodesH93.232

H93.232

Billable

Hyperacusis, left ear

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

Code Description

ICD-10 H93.232 is a billable code used to indicate a diagnosis of hyperacusis, left 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 left ear, patients may experience heightened auditory perception, where sounds that are typically tolerable become overwhelming. This condition can arise from various underlying issues, including noise-induced hearing loss, ear infections, or neurological disorders. Clinically, patients may report symptoms such as discomfort in response to everyday sounds, which can significantly impact their quality of life. Diagnosis typically involves a thorough audiological evaluation, including pure-tone audiometry and sound tolerance testing, to assess the degree of sensitivity. 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 managing a neurological condition, may alleviate symptoms. Understanding the nuances of hyperacusis is essential for effective treatment and patient education.

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.
  • Potential overlap with psychological conditions like anxiety disorders.
  • Variability in patient presentation and symptom severity.

Audit Risk Factors

  • Inadequate documentation of patient symptoms and history.
  • Failure to include audiological test results.
  • Misclassification of hyperacusis as a different auditory disorder.
  • Lack of clear treatment plans or management strategies.

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

Consideration of co-existing conditions such as tinnitus or hearing loss.

Audiology

Documentation Requirements

Comprehensive audiometric evaluations and sound tolerance assessments.

Common Clinical Scenarios

Patients undergoing sound therapy for hyperacusis.

Billing Considerations

Need for collaboration with otolaryngologists for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use H93.232 When
  • According to ICD
  • 10 guidelines, hyperacusis is classified under diseases of the ear and mastoid process
  • Accurate coding requires documentation of the specific ear affected and any associated conditions

Exclusion Criteria

Do NOT use H93.232 When
  • Exclusion criteria include conditions that do not specifically relate to hyperacusis

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used for evaluating hearing sensitivity in patients with hyperacusis.

Documentation Requirements

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, improving the ability to track and manage this condition. The specificity of H93.232 helps in understanding the prevalence and treatment outcomes for patients with unilateral hyperacusis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hyperacusis, improving the ability to track and manage this condition. The specificity of H93.232 helps in understanding the prevalence and treatment outcomes for patients with unilateral hyperacusis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hyperacusis, improving the ability to track and manage this condition. The specificity of H93.232 helps in understanding the prevalence and treatment outcomes for patients with unilateral hyperacusis.

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, causing discomfort or pain.

How is hyperacusis diagnosed?

Diagnosis typically involves a thorough audiological evaluation, including pure-tone audiometry and sound tolerance testing.

What are the treatment options for hyperacusis?

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