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ICD-10 Guide
ICD-10 CodesH93.92

H93.92

Billable

Unspecified disorder of left ear

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

Code Description

ICD-10 H93.92 is a billable code used to indicate a diagnosis of unspecified disorder of left ear.

Key Diagnostic Point:

The ICD-10 code H93.92 refers to an unspecified disorder of the left ear, which encompasses a variety of conditions affecting the ear's structure and function. This code is often used when a patient presents with symptoms such as hearing loss, tinnitus, or ear pain, but the specific diagnosis has not been determined. Common disorders that may fall under this code include otitis media, external ear infections, and vestibular dysfunctions. Patients may experience symptoms like muffled hearing, balance issues, or discomfort, prompting further evaluation. Diagnostic criteria typically involve a thorough history, physical examination, and audiometric testing to assess hearing capabilities. Management may include medical treatment, such as antibiotics for infections, or referral for audiological assessment. Surgical interventions, such as tympanostomy or mastoidectomy, may be indicated in more severe cases. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for comprehensive diagnostic evaluation
  • Potential overlap with other ear disorders
  • Documentation requirements for unspecified conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the nature of the disorder
  • Misuse of unspecified codes when a specific diagnosis exists
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, physical examination findings, and results of audiometric tests.

Common Clinical Scenarios

Patients presenting with ear pain, hearing loss, or balance issues requiring further evaluation.

Billing Considerations

Ensure that all relevant diagnostic tests are documented to support the use of unspecified codes.

Audiology

Documentation Requirements

Comprehensive audiological evaluations, including pure tone audiometry and tympanometry results.

Common Clinical Scenarios

Patients undergoing hearing assessments due to reported hearing loss or tinnitus.

Billing Considerations

Document the patient's hearing history and any interventions or referrals made.

Coding Guidelines

Inclusion Criteria

Use H93.92 When
  • According to ICD
  • 10 coding guidelines, H93
  • 92 should be used when the specific nature of the ear disorder is not documented
  • Coders should ensure that all relevant clinical information is captured to justify the use of unspecified codes

Exclusion Criteria

Do NOT use H93.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used when a patient presents with hearing loss symptoms.

Documentation Requirements

Audiometric test results and patient history.

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, but the use of unspecified codes like H93.92 remains common. Coders must ensure that they are using this code appropriately and only when no specific diagnosis is available.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding, but the use of unspecified codes like H93.92 remains common. Coders must ensure that they are using this code appropriately and only when no specific diagnosis is available.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding, but the use of unspecified codes like H93.92 remains common. Coders must ensure that they are using this code appropriately and only when no specific diagnosis is available.

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

When should I use H93.92?

Use H93.92 when a patient presents with ear symptoms, but a specific diagnosis has not been established after evaluation.