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ICD-10 Guide
ICD-10 CodesH93.292

H93.292

Billable

Other abnormal auditory perceptions, left ear

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

Code Description

ICD-10 H93.292 is a billable code used to indicate a diagnosis of other abnormal auditory perceptions, left ear.

Key Diagnostic Point:

H93.292 refers to abnormal auditory perceptions in the left ear that do not fit into more specific categories. This may include conditions such as tinnitus, auditory hallucinations, or other non-specific auditory disturbances. Patients may report hearing sounds that are not present in the environment, such as ringing, buzzing, or hissing. These perceptions can arise from various underlying conditions, including otitis media, sensorineural hearing loss, or vestibular disorders. The clinical presentation may vary widely, with some patients experiencing intermittent symptoms while others may have persistent disturbances. Diagnosis typically involves a thorough audiological evaluation, including pure-tone audiometry and tympanometry, as well as a detailed patient history to rule out other causes. 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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions that can cause abnormal auditory perceptions
  • Need for comprehensive patient history and audiological assessment
  • Potential overlap with other auditory disorders requiring careful differentiation
  • Variability in patient presentation and symptom severity

Audit Risk Factors

  • Inadequate documentation of patient symptoms and history
  • Failure to specify the left ear in documentation
  • Misdiagnosis or coding of related conditions
  • Lack of supporting audiological test results

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed audiological assessments, patient history, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with tinnitus, hearing loss, or unexplained auditory perceptions.

Billing Considerations

Ensure clear documentation of the left ear involvement and any diagnostic tests performed.

Audiology

Documentation Requirements

Comprehensive audiometric evaluations and patient-reported outcomes.

Common Clinical Scenarios

Patients undergoing hearing assessments for abnormal auditory perceptions.

Billing Considerations

Document specific auditory tests and results to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H93.292 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include any relevant audiological test results and patient history

Exclusion Criteria

Do NOT use H93.292 When
  • Exclude conditions that are more specifically defined under other codes

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when evaluating a patient with abnormal auditory perceptions.

Documentation Requirements

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

Specialty Considerations

Otolaryngologists and audiologists should ensure thorough documentation to support the diagnosis.

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 capture the nuances of conditions like H93.292. This specificity aids in better patient management and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of auditory disorders, improving the ability to capture the nuances of conditions like H93.292. This specificity aids in better patient management and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 are the common causes of abnormal auditory perceptions?

Common causes include tinnitus, vestibular disorders, otitis media, and sensorineural hearing loss. Each of these conditions can lead to different types of auditory disturbances.