H91.13
Presbycusis, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
Presbycusis bilateral, also known as age-related hearing loss affecting both ears, is a common condition among older adults. It gradually reduces the ability to hear high-frequency sounds, making communication challenging and impacting quality of life. This condition is a natural part of aging but can be managed effectively with appropriate strategies and interventions.
Causes & Symptoms
Clinical Causes: Degeneration of hair cells in the cochlea due to aging Changes in the auditory nerve pathways Cumulative exposure to loud noises over the years Genetic predisposition influencing hearing decline Poor circulation affecting inner ear health Environmental factors such as ototoxic medications
Key Symptoms: Gradual decline in hearing ability, especially high-pitched sounds Difficulty understanding speech, particularly in noisy environments Needing to increase volume on electronic devices Feeling of fullness or pressure in the ears Tinnitus, or ringing in the ears Hearing loss that develops slowly over years
Diagnostic & Treatment
Diagnosis Path: The diagnosis of presbycusis bilaterally is typically made through a comprehensive hearing evaluation performed by an audiologist. Tests may include pure-tone audiometry to measure hearing thresholds across different frequencies, speech audiometry to assess understanding, and tympanometry to check middle ear function. Medical history and physical examination also contribute to understanding the context and ruling out other causes of hearing loss.
Treatment Protocols: Hearing aids designed to amplify sounds and improve speech understanding Assistive listening devices for specific situations, such as television or phone use Communication strategies, including lip-reading and using clearer speech Aural rehabilitation programs to optimize hearing device use and communication skills Regular check-ups to adjust hearing devices and monitor hearing status Protecting remaining hearing by avoiding loud noises and using ear protection
Clinical Advice & FAQs
Billing Guidance
Is H91.13 a billable ICD-10 code?
Yes, H91.13 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H91.13?
Clinical documentation must specify the nature of Presbycusis, bilateral and any associated comorbidities for accurate reporting.
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