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ICD-10 Guide
ICD-10 CodesH93.242

H93.242

Billable

Temporary auditory threshold shift, left ear

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

Code Description

ICD-10 H93.242 is a billable code used to indicate a diagnosis of temporary auditory threshold shift, left ear.

Key Diagnostic Point:

Temporary auditory threshold shift refers to a transient change in hearing sensitivity, typically resulting from exposure to loud noise or other environmental factors. This condition is characterized by a temporary increase in auditory thresholds, meaning that sounds must be louder than usual for the individual to hear them. In the left ear, this shift can manifest as muffled hearing or difficulty in discerning sounds, particularly in noisy environments. The condition is often reversible, with hearing returning to baseline levels after a period of rest from the offending noise or stimulus. Clinically, patients may report symptoms such as tinnitus or a sensation of fullness in the ear. Diagnosis is typically made through audiometric testing, which reveals elevated thresholds in the affected ear. Management focuses on avoiding further exposure to loud sounds and monitoring for any persistent changes in hearing. In some cases, referral to an audiologist or otolaryngologist may be warranted for further evaluation and management. Understanding the nuances of this condition is essential for accurate coding and appropriate clinical management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between temporary and permanent auditory threshold shifts
  • Need for precise audiometric testing results
  • Potential overlap with other hearing loss codes
  • Documentation of exposure history and symptoms

Audit Risk Factors

  • Inadequate documentation of audiometric testing results
  • Failure to document the duration of symptoms
  • Lack of clear exposure history to loud noises
  • Misclassification of temporary shifts as permanent

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiometric test results, patient history of noise exposure, and symptom duration.

Common Clinical Scenarios

Patients presenting with sudden hearing loss after exposure to loud environments, or those with tinnitus.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the coding of temporary auditory threshold shifts.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing routine hearing assessments who report temporary changes in hearing sensitivity.

Billing Considerations

Audiologists should provide clear documentation of test results and any recommendations for follow-up.

Coding Guidelines

Inclusion Criteria

Use H93.242 When
  • According to ICD
  • 10 guidelines, H93
  • 242 should be used when there is clear documentation of a temporary auditory threshold shift in the left ear, supported by audiometric testing

Exclusion Criteria

Do NOT use H93.242 When
  • It is important to exclude any permanent hearing loss or other underlying conditions that may complicate the diagnosis

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when performing audiometric testing to confirm a temporary auditory threshold shift.

Documentation Requirements

Audiometric test results and patient history of noise exposure.

Specialty Considerations

Otolaryngologists and audiologists should ensure that all relevant findings are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing-related issues and enhances the ability to analyze trends in noise-induced hearing changes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing-related issues and enhances the ability to analyze trends in noise-induced hearing changes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of auditory conditions, including temporary auditory threshold shifts. This specificity aids in better tracking of hearing-related issues and enhances the ability to analyze trends in noise-induced hearing changes.

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 the difference between temporary and permanent auditory threshold shifts?

Temporary auditory threshold shifts are reversible changes in hearing sensitivity often caused by noise exposure, while permanent shifts indicate lasting hearing loss that does not recover.