ICD Code H91.90

ICD code H91.90 is used to indicate a diagnosis of unspecified hearing loss in an unspecified ear. This code is utilized when a patient has hearing loss, but the specific type of hearing loss and the affected ear have not been determined or documented.

When considering the use of the ICD code for unspecified hearing loss in an unspecified ear, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Patient History: Review the patient's medical history for any previous reports of hearing difficulties or related conditions that could contribute to hearing loss.

2. Audiometric Testing: Conduct audiometric evaluations to assess the degree of hearing impairment. If the results indicate hearing loss but do not specify the affected ear, this criterion is met.

3. Symptom Presentation: Identify symptoms such as difficulty understanding speech, frequently asking others to repeat themselves, or needing to increase the volume on electronic devices.

4. Physical Examination: Perform a thorough examination of the ears to rule out any visible obstructions or abnormalities that could be causing hearing issues.

5. Patient Report: Consider the patient's subjective experience of hearing loss, especially if they cannot specify which ear is affected.

6. Exclusion of Other Conditions: Rule out other potential causes of hearing loss, such as infections, trauma, or ototoxic medications, that might provide a more specific diagnosis.

7. Lack of Specificity: Use this code when the hearing loss is confirmed, but the specific ear affected cannot be determined or is not documented.

By following these criteria, healthcare providers can accurately determine when to use the ICD code for unspecified hearing loss in an unspecified ear.

For the ICD code H91.90 (Unspecified hearing loss, unspecified ear), the relevant CPT codes that may be applicable include:

1. 92557 - Comprehensive audiometry threshold evaluation and speech recognition.

2. 92567 - Tympanometry (impedance testing).

3. 92568 - Acoustic reflex testing; threshold.

4. 92550 - Tympanometry and reflex threshold measurements.

5. 92552 - Pure tone audiometry (threshold); air only.

6. 92553 - Pure tone audiometry (threshold); air and bone.

7. 92570 - Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing.

8. 92585 - Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive.

9. 92586 - Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limited.

These CPT codes are typically used for diagnostic and evaluation purposes related to hearing loss. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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