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ICD-10 Guide
ICD-10 CodesH93.233

H93.233

Billable

Hyperacusis, bilateral

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

Code Description

ICD-10 H93.233 is a billable code used to indicate a diagnosis of hyperacusis, bilateral.

Key Diagnostic Point:

Hyperacusis is a condition characterized by an increased sensitivity to normal environmental sounds, leading to discomfort or pain. When bilateral, it affects both ears, causing significant distress and impairment in daily activities. Patients may experience sounds that are typically tolerable as overwhelmingly loud or painful. This condition can arise from various underlying issues, including noise-induced hearing loss, acoustic trauma, or neurological disorders affecting auditory processing. The clinical presentation often includes complaints of discomfort in response to sounds that others find normal, which can lead to social withdrawal and anxiety. Diagnosis typically involves a thorough audiological evaluation, including pure-tone audiometry and sound tolerance testing, to differentiate hyperacusis from other auditory disorders. Management may include sound therapy, counseling, and the use of hearing protection in loud environments. Understanding the underlying cause is crucial for effective treatment and improving the patient's quality of life.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating hyperacusis from other auditory disorders
  • Need for comprehensive audiological evaluation
  • Potential overlap with psychological conditions
  • Variability in patient presentation and response to treatment

Audit Risk Factors

  • Inadequate documentation of symptom severity
  • Failure to document the impact on daily activities
  • Lack of comprehensive audiological evaluation records
  • Misclassification of hyperacusis as a different auditory disorder

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments, patient history, and treatment plans.

Common Clinical Scenarios

Patients presenting with increased sensitivity to sound following acoustic trauma or ototoxic medication.

Billing Considerations

Ensure documentation reflects the bilateral nature of hyperacusis and any associated conditions.

Audiology

Documentation Requirements

Comprehensive audiometric testing results and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing sound tolerance testing and therapy for hyperacusis.

Billing Considerations

Document the specific sounds that trigger discomfort and the patient's coping strategies.

Coding Guidelines

Inclusion Criteria

Use H93.233 When
  • According to ICD
  • 10 guidelines, hyperacusis is classified under diseases of the ear and mastoid process
  • It is essential to document the bilateral nature of the condition and any associated symptoms or diagnoses

Exclusion Criteria

Do NOT use H93.233 When
  • Exclusion criteria include conditions that may mimic hyperacusis, such as tinnitus or other hearing disorders

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 hyperacusis.

Documentation Requirements

Document the results of the audiometric tests and any patient-reported outcomes.

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 hyperacusis, improving the accuracy of data collection and treatment planning. This specificity aids in better understanding the prevalence and management of the condition.

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. This specificity aids in better understanding the prevalence and management of the condition.

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. This specificity aids in better understanding the prevalence and management of the condition.

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.

How is hyperacusis diagnosed?

Diagnosis typically involves a comprehensive audiological evaluation, including patient history and sound tolerance testing.

What are the treatment options for hyperacusis?

Management may include sound therapy, counseling, and the use of hearing protection in loud environments.