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v1.0.0
ICD-10 Guide
ICD-10 CodesH93.93

H93.93

Billable

Unspecified disorder of ear, bilateral

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

Code Description

ICD-10 H93.93 is a billable code used to indicate a diagnosis of unspecified disorder of ear, bilateral.

Key Diagnostic Point:

H93.93 refers to an unspecified disorder affecting both ears, which may encompass a variety of conditions such as otitis media, hearing loss, vestibular disorders, and other ear-related issues. Clinical presentations can vary widely, including symptoms like ear pain, hearing impairment, balance issues, and tinnitus. The diagnosis is often made based on patient history, physical examination, and audiometric testing. Management may involve medical treatment, such as antibiotics for infections, or surgical interventions like tympanostomy or mastoidectomy, depending on the underlying cause. Due to the broad nature of this code, it is essential for healthcare providers to document specific symptoms and findings to ensure accurate coding and appropriate treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Broad range of potential underlying conditions
  • Variability in clinical presentation
  • Need for comprehensive documentation
  • Potential for overlapping symptoms with other ear disorders

Audit Risk Factors

  • Insufficient documentation of symptoms
  • Inconsistent coding with clinical findings
  • Use of unspecified codes without justification
  • Failure to document prior treatments or interventions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, audiometric test results, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic ear infections, hearing loss, or balance disorders.

Billing Considerations

Ensure to document specific findings from otoscopic examinations and any imaging studies.

Audiology

Documentation Requirements

Comprehensive audiological evaluations and patient history.

Common Clinical Scenarios

Patients undergoing hearing assessments or rehabilitation for hearing loss.

Billing Considerations

Document the type and degree of hearing loss, as well as any interventions provided.

Coding Guidelines

Inclusion Criteria

Use H93.93 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when a more specific diagnosis is not available
  • Document all relevant clinical findings and treatments to support the use of this code

Exclusion Criteria

Do NOT use H93.93 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 evaluating a patient with bilateral ear disorders.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant 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 detailed coding of ear disorders, but the use of unspecified codes like H93.93 may lead to challenges in treatment planning and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of ear disorders, but the use of unspecified codes like H93.93 may lead to challenges in treatment planning and reimbursement.

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

When should I use H93.93?

Use H93.93 when a patient presents with bilateral ear disorders that do not fit into a more specific diagnosis. Ensure that documentation supports the use of this code.