ICD Code H90.3

ICD code H90.3 is a classification used to denote bilateral sensorineural hearing loss, which means that there is a loss of hearing in both ears due to issues in the inner ear or the nerve pathways from the inner ear to the brain. This type of hearing loss is typically permanent and can be caused by factors such as aging, exposure to loud noise, or certain medical conditions.

1. Bilateral Hearing Loss: The patient must exhibit hearing loss in both ears, not just one. This is a critical criterion for using this specific ICD code.

2. Sensorineural Origin: The hearing loss should be due to issues in the inner ear or the nerve pathways from the inner ear to the brain. This distinguishes it from conductive hearing loss, which involves problems in the outer or middle ear.

3. Audiometric Testing: Audiometric evaluations should confirm the sensorineural nature of the hearing loss. This typically involves pure-tone audiometry and speech audiometry tests that indicate a reduction in hearing sensitivity.

4. Absence of Conductive Hearing Loss: There should be no significant conductive component to the hearing loss. This can be confirmed through tests such as tympanometry and bone conduction audiometry.

5. Symptom Duration: The hearing loss should be persistent and not transient. Temporary hearing loss due to factors like ear infections or exposure to loud noise should be ruled out.

6. Patient History: A thorough patient history should be taken to rule out other causes of hearing loss, such as ototoxic medications, head trauma, or systemic diseases that could affect hearing.

7. Age Considerations: While sensorineural hearing loss can occur at any age, the code is applicable regardless of whether the condition is congenital, acquired, or age-related (presbycusis).

8. Exclusion of Other Diagnoses: Other potential causes of bilateral hearing loss, such as autoimmune inner ear disease or Meniere's disease, should be considered and ruled out if they do not fit the clinical picture.

By adhering to these diagnostic criteria, healthcare providers can ensure accurate coding and appropriate management of sensorineural hearing loss, bilateral.

For the ICD code H90.3, which pertains to sensorineural hearing loss, bilateral, the relevant CPT codes that may be applicable for treatment or management include:

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

2. 92567 - Tympanometry (impedance testing).

3. 92568 - Acoustic reflex testing; threshold.

4. 92585 - Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive.

5. 92626 - Evaluation of auditory rehabilitation status; first hour.

6. 69210 - Removal of impacted cerumen requiring instrumentation, unilateral.

7. V5261 - Hearing aid, digital, binaural, BTE (behind the ear).

These CPT codes are commonly used in the evaluation and management of bilateral sensorineural hearing loss, providing a range of diagnostic and therapeutic options for healthcare providers. Always ensure that the selected CPT codes align with the specific services provided and the patient's treatment plan.

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