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ICD-10 Guide
ICD-10 CodesH93.291

H93.291

Billable

Other abnormal auditory perceptions, right ear

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

Code Description

ICD-10 H93.291 is a billable code used to indicate a diagnosis of other abnormal auditory perceptions, right ear.

Key Diagnostic Point:

H93.291 refers to abnormal auditory perceptions in the right ear that do not fit into more specific categories of auditory disorders. This may include conditions such as tinnitus, auditory hallucinations, or other non-specific auditory disturbances. Patients may report sensations of sound that are not present in the environment, which can be distressing and impact quality of life. The clinical presentation may vary widely, with patients experiencing ringing, buzzing, or other phantom sounds. Diagnostic criteria typically involve a thorough auditory examination, patient history, and possibly audiometric testing to rule out other ear diseases such as otitis media, hearing loss, or vestibular disorders. Management may include sound therapy, cognitive behavioral therapy, or pharmacological interventions depending on the underlying cause and severity of symptoms. Accurate coding is essential for appropriate treatment and reimbursement, as well as for tracking the prevalence of these conditions in the population.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive diagnostic workup
  • Potential overlap with other auditory disorders
  • Documentation requirements for specificity

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the affected ear
  • Lack of supporting diagnostic tests
  • Misuse of related codes

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with tinnitus or auditory hallucinations.

Billing Considerations

Ensure documentation clearly states the nature of auditory perceptions and any associated conditions.

Psychiatry

Documentation Requirements

Mental health evaluations, history of auditory hallucinations, and treatment responses.

Common Clinical Scenarios

Patients with auditory hallucinations as part of a psychiatric disorder.

Billing Considerations

Document any psychiatric evaluations and treatments that may influence auditory perceptions.

Coding Guidelines

Inclusion Criteria

Use H93.291 When
  • According to ICD
  • 10 guidelines, H93
  • 291 should be used when the abnormal auditory perception is specifically noted to be in the right ear
  • It is important to document the nature of the auditory perception and any relevant history or examination findings

Exclusion Criteria

Do NOT use H93.291 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92552CPT Code

Pure tone audiometry

Clinical Scenario

Used to assess hearing thresholds in patients with abnormal auditory perceptions.

Documentation Requirements

Audiometric test results must be documented.

Specialty Considerations

Otolaryngologists should ensure comprehensive audiometric evaluations are performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of auditory disorders, improving the ability to track and manage these conditions. H93.291 provides a clear designation for abnormal auditory perceptions in the right ear, which aids in treatment planning and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory disorders, improving the ability to track and manage these conditions. H93.291 provides a clear designation for abnormal auditory perceptions in the right ear, which aids in treatment planning and research.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What symptoms warrant the use of H93.291?

Symptoms such as persistent ringing, buzzing, or other abnormal sounds in the right ear that are not attributable to other diagnosed conditions may warrant the use of H93.291.