H90.8
Mixed conductive and sensorineural hearing loss, unspecified
Clinical Classification Guidelines
Medical Intelligence & Overview
Mixed hearing loss is a condition that involves difficulties in hearing caused by issues in both the outer or middle ear (conductive hearing loss) and the inner ear or auditory nerve (sensorineural hearing loss). When these problems occur together, it is referred to as mixed hearing loss. The ICD-10 code H90.8 classifies this type of hearing impairment without specifying the underlying cause. The condition can affect individuals of all ages and may vary in severity, impacting communication, social interaction, and overall quality of life. Understanding the components and symptoms associated with mixed hearing loss can help in seeking appropriate evaluation and management.
Causes & Symptoms
Clinical Causes: Chronic ear infections (otitis media) leading to damage in the middle ear structures Ear trauma or injuries affecting the outer, middle, or inner ear Age-related changes (presbycusis) that impair inner ear or auditory nerve function Exposure to loud noises causing both mechanical damage in the ear and nerve damage Inner ear disorders such as Meniere's disease or labyrinthitis Congenital abnormalities affecting ear development Otosclerosis, a disease that causes abnormal bone growth in the middle ear Head tumors or growths impacting auditory pathways Genetic predisposition impacting ear structures or nerves Certain medications that are ototoxic (harmful to the ear) over time
Key Symptoms: Hearing difficulty affecting both high and low frequencies Muffled or distorted sounds Difficulty understanding speech, especially in noisy environments Tinnitus (ringing or buzzing in the ears) Balance problems or dizziness in some cases Feeling of fullness or pressure in the ears Need to increase volume on electronic devices to hear properly
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a comprehensive hearing assessment conducted by an audiologist. The process typically includes:
Treatment Protocols: Treatment strategies aim to improve hearing and manage underlying conditions. They may include:
Clinical Advice & FAQs
Billing Guidance
Is H90.8 a billable ICD-10 code?
Yes, H90.8 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H90.8?
Clinical documentation must specify the nature of Mixed conductive and sensorineural hearing loss, unspecified and any associated comorbidities for accurate reporting.
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