ICD-10-CM Billable Code

H80.00

Otosclerosis involving oval window, nonobliterative, unspecified ear

Clinical Classification Guidelines

Medical Intelligence & Overview

Otosclerosis is a condition that affects the tiny bones in the middle ear, particularly involving abnormal bone growth around the oval window. This can lead to hearing loss, often developing gradually. When otosclerosis impacts the oval window, it can interfere with the proper transmission of sound vibrations to the inner ear, resulting in conductive hearing impairment. The condition is usually bilateral but can also affect one ear. Otosclerosis involving the oval window is classified under ICD-10 code H80.00 and is considered nonobliterative, meaning it does not lead to complete blockage of the oval window, allowing some sound transmission to persist.

Causes & Symptoms

Clinical Causes: Genetics: A family history of otosclerosis increases the likelihood of developing the condition. Hormonal factors: Conditions like pregnancy may influence the activity of otosclerosis, potentially worsening hearing loss. Age: Otosclerosis typically occurs in adults between the ages of 20 and 40. Viral infections: Certain viral diseases have been associated with initiation or progression in some cases. Bone metabolism abnormalities: Disruptions in normal bone remodeling processes can contribute to abnormal bone growth.

Key Symptoms: Gradual hearing loss, often worse in noisy environments Tinnitus, or ringing in the ears A feeling of fullness or pressure in the affected ear Difficulty understanding speech, especially in background noise Sometimes episodes of dizziness or imbalance, though less common

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and audiological tests. An ear specialist may perform the following:

Treatment Protocols: While there is no cure for otosclerosis, various treatment options are available to manage symptoms:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is H80.00 a billable ICD-10 code?
Yes, H80.00 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report H80.00?
Clinical documentation must specify the nature of Otosclerosis involving oval window, nonobliterative, unspecified ear and any associated comorbidities for accurate reporting.

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