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ICD-10 Guide
ICD-10 CodesH94.03

H94.03

Billable

Acoustic neuritis in infectious and parasitic diseases classified elsewhere, bilateral

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

Code Description

ICD-10 H94.03 is a billable code used to indicate a diagnosis of acoustic neuritis in infectious and parasitic diseases classified elsewhere, bilateral.

Key Diagnostic Point:

Acoustic neuritis refers to inflammation of the vestibulocochlear nerve (cranial nerve VIII), which can lead to hearing loss and balance disorders. When classified under infectious and parasitic diseases, it indicates that the underlying cause is due to an infectious agent, such as a virus or bacteria, that has affected the nerve. Bilateral involvement suggests that both sides of the auditory system are affected, which can complicate clinical presentation and management. Patients may present with symptoms such as sudden hearing loss, tinnitus, and vertigo. Diagnosis typically involves a thorough clinical evaluation, audiometric testing, and imaging studies like MRI to rule out other causes. Management may include treating the underlying infection, corticosteroids to reduce inflammation, and rehabilitation for hearing and balance issues. Accurate coding is essential to reflect the complexity of the condition and its etiology.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of infectious and parasitic disease classification
  • Bilateral nature complicates coding and documentation
  • Differentiation from other types of neuritis and hearing loss
  • Need for comprehensive documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of the infectious etiology
  • Failure to specify bilateral involvement
  • Misclassification with other types of hearing loss
  • Lack of supporting diagnostic tests in the medical record

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with sudden hearing loss, tinnitus, and vertigo following a viral infection.

Billing Considerations

Ensure clear documentation of the infectious cause and bilateral nature to support coding.

Infectious Disease

Documentation Requirements

Comprehensive documentation of the infectious agent, treatment protocols, and follow-up care.

Common Clinical Scenarios

Patients with known infections (e.g., viral meningitis) presenting with auditory symptoms.

Billing Considerations

Document the relationship between the infectious disease and acoustic neuritis clearly.

Coding Guidelines

Inclusion Criteria

Use H94.03 When
  • Follow ICD
  • CM guidelines for coding infectious diseases and ensure that the bilateral nature is documented
  • Include any relevant diagnostic tests and clinical findings to support the diagnosis

Exclusion Criteria

Do NOT use H94.03 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92557CPT Code

Comprehensive audiometry threshold evaluation and speech recognition

Clinical Scenario

Used to assess hearing loss in patients with suspected acoustic neuritis.

Documentation Requirements

Document the results of the audiometric evaluation and any relevant history.

Specialty Considerations

Otolaryngologists should ensure thorough documentation of the patient's auditory function.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like acoustic neuritis, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better patient management and resource allocation.

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 is the difference between H94.03 and H93.1?

H94.03 is specifically for acoustic neuritis due to infectious and parasitic diseases, while H93.1 refers to hearing loss due to acoustic neuritis without specifying the cause.