The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
Code with “unrestricted” = Normal • If patient has hearing loss in one ear but normal hearing in other ear, must use: H90.11 Conductive hearing loss, unilateral, right ear, with unrestricted hearing on contralateral side • H90.12 Conductive hearing loss, unilateral, left ear, with unrestricted hearing on contralateral side
Why ICD-10 codes are important
ICD-10 Code for Encounter for examination of ears and hearing without abnormal findings- Z01. 10- Codify by AAPC.
ICD-10-CM Code for Abnormal findings on neonatal screening for neonatal hearing loss P09. 6.
110 for Encounter for hearing examination following failed hearing screening is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
P09. 6 allows better tracking of referred newborn hearing screenings and supports justification for additional hearing testing. Audiologists can report P09. 6 code in conjunction with ICD-10-CM code Z01.
An "abnormal" result means that the test results were not normal. "Abnormal" results may appear on the newborn screening report for some of the disorders on the newborn screening panel.
If your child failed a hearing screening, the first thing to do is to get your child's hearing tested by an audiologist who specializes in evaluating children. Sometimes the problem is due to an ear infection – sometimes it is permanent. Only testing will confirm hearing ability and the cause if there is a problem.
Audiologists should use CPT 92570, since acoustic reflex decay testing is always done in conjunction with tympanometry and acoustic reflex threshold testing. Audiologists billing 92567, 92568, and acoustic reflex decay test (formerly 92569) on the same day should now use 92550.
An "unrestricted hearing loss in the opposite ear" means there is no hearing loss; in other words, the hearing in that ear is normal.
ICD-10 code R94. 120 for Abnormal auditory function study is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
CPT code 92586 and newborn hearing test — a technical-only code. CPT code 92586 is a technical-only code (CMS guidelines and Aetna policy) and, as such, can and should be billed only by the hospital/facility and not a third party.
A minimum of 12 frequencies would need to be completed for each ear. Who can perform CPT code 92558, the OAE screening code? Support personnel, an audiologist, or a physician can perform this test.
In ICD10, I would recommend Z01. 10 (hearing/vestibular exam without abnormal findings). You always, in these cases, also code the signs and symptoms that led to the medical necessity of testing.
Code the associated hearing or vestibular disorder secondary to U07.1 when the disorder is directly caused by, but is not inherent to, COVID-19. For suspected cases of COVID-19, use Z20.822 and/or the presenting signs and symptoms.
There are no major changes to ICD-10 codes related to audiology for FY 2021. However, audiologists should be aware of new ICD-10 codes related to COVID-19, which were published off-cycle in 2020 and 2021. Vestibular audiologists should also be aware of two new and revised codes related to eye movements. On this page:
The ICD-10 is also used to code and classify mortality data from death certificates.
ICD-10 was implemented on October 1, 2015, replacing the 9th revision of ICD (ICD-9).
The ICD-10-CM has two types of excludes notes. Each note has a different definition for use but they are both similar in that they indicate that codes excluded from each other are independent of each other.
Audiologists practicing in a health care setting, especially a hospital, may have to code diseases and diagnoses according to the ICD-10. Payers, including Medicare, Medicaid, and commercial insurers, also require audiologists to report ICD-10 codes on health care claims for payment.