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Hearing Services ICD-10-CM Coding Tip Sheet
Overview of Key Chapter Updates for Hearing Services and Top 25 codes
Chapter 7: Diseases of the Eye and Adnexa (H00-H59)
Diseases of the eye and adnexa are a new chapter in ICD-10-CM
Terminology improvements
Revisions to identify laterality:
- Many of the codes have laterality designation and, in some instances, bilateral
designation for diseases of the eye and ear
- A code for unspecified site is also provided should the site not be identified in the
medical record
Chapter 18: Symptoms, signs, and abnormal clinical and laboratory findings (R00-R99)
Many categories in this chapter could be designated as:
- “Not otherwise specified”
- “Unknown etiology”
- “Transient”
There are codes to identify a patient’s coma scale (for use in the emergency room setting)
There are a number of combination codes that identify both the definitive diagnosis and
common symptoms of that diagnosis
(Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting)
The Top 25 Hearing Services ICD-9 to ICD-10 mappings start on the chart below
Top
1-25
ICD-9
Description ICD-9
ICD-10
Description ICD-10
1
389.18
Sensorineural hearing loss, bilateral
H90.3
Sensorineural hearing loss, bilateral
2
389.10
Sensorineural hearing loss, unspecified
H90.5
Unspecified sensorineural hearing loss
3
780.4
Dizziness and giddiness
R42
Dizziness and giddiness
4
381.81
Dysfunction of eustachian tube
H69.80
Other specified disorders of eustachian tube,
unspecified ear
H69.81
Other specified disorders of eustachian tube,
right ear
H69.82
Other specified disorders of eustachian tube,
left ear
H69.83
Other specified disorders of eustachian tube,
bilateral
5
389.16
Sensorineural hearing loss, asymmetrical
H90.5
Unspecified sensorineural hearing loss
6
389.11
Sensory hearing loss, bilateral
H90.3
Sensorineural hearing loss, bilateral
7
389.06
Conductive hearing loss, bilateral
H90.0
Conductive hearing loss, bilateral
8
389.9
Unspecified hearing loss
H91.90
Unspecified hearing loss, unspecified ear
H91.91
Unspecified hearing loss, right ear
