Hearing Loss

The following codes have been created to report bilateral hearing loss that is a different type for each ear: H90.A11    Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side H90.A12    Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side H90.A21    Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side H90.A22    Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side H90.A31    Mixed conductive and sensorineural hearing loss, unilateral, right...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article explains how hearing loss is categorized and why laterality matters in diagnosis reporting. It is aimed at coders, auditors, and clinicians working with audiology and ear-related documentation. The article also includes a short scenario about a routine hearing evaluation and the related diagnosis assignment context, along with general discussion of different hearing-loss types and their causes.

Why This Topic Matters

Accurate hearing-loss reporting depends on distinguishing the type of loss and the ear affected, especially when the condition differs between ears. This article helps readers recognize the scope of the diagnosis concepts involved and understand the coding context for an audiology encounter.

Article Sections

  1. Hearing loss code creation and categories

    Introduces newly created diagnosis codes related to bilateral hearing loss patterns and outlines the main hearing-loss categories discussed in the article.

  2. Types and causes of hearing loss

    Reviews the broad clinical distinctions among hearing-loss types and summarizes common causes and general treatment approaches.

  3. Clinical scenario and diagnosis assignment

    Presents a brief audiology visit scenario and discusses the encounter-level diagnosis reporting context for that visit.

What You Will Learn

  • How hearing-loss categories are differentiated at a high level
  • Why laterality is relevant in hearing-loss diagnosis reporting
  • What general clinical scenarios may accompany audiology evaluations
  • How an ear-and-hearing examination encounter is discussed in the article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Audiology practices
  • ENT and hearing-care staff
  • Revenue cycle professionals

Codes Discussed

  • ICD-10-CM: H90.A11
  • ICD-10-CM: H90.A12
  • ICD-10-CM: H90.A21
  • ICD-10-CM: H90.A22
  • ICD-10-CM: H90.A31
  • ICD-10-CM: H90.A32
  • ICD-10-CM: Z01.10

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