H93.293 Other abnormal auditory perceptions, bilateral

ICD10CM code

#### Name of the Condition
- Other abnormal auditory perceptions, bilateral
- Technical term: Bilateral Auditory Perception Abnormality

#### Summary
- This condition involves unusual hearing experiences in both ears that are not typical auditory responses. It includes sensations such as hearing phantom sounds like ringing, buzzing, or whooshing that do not derive from external stimuli.

#### Causes
- Causes can vary widely and might include inner ear damage, neurological disorders, exposure to loud noises, or side effects from certain medications.

#### Risk Factors
- Age-related hearing changes
- Prolonged exposure to loud noises
- Family history of auditory disorders
- Use of ototoxic drugs (medications that can damage the ear)

#### Symptoms
- Common symptoms may include tinnitus (ringing in the ears), hearing phantom sounds, and possible hearing loss or distortion in both ears.

#### Diagnosis
- Diagnosing this condition typically involves a comprehensive hearing evaluation, which may include audiometry tests, medical history review, and possibly imaging studies like an MRI to rule out other conditions.

#### Treatment Options
- Treatment may involve addressing underlying causes, such as adjusting medications or treating ear infections. Other options include sound therapy, hearing aids, or cognitive-behavioral therapy (CBT) to help manage symptoms.

#### Prognosis and Follow-Up
- Prognosis largely depends on the underlying cause. While some instances may resolve with treatment, others might require ongoing management to alleviate symptoms. Regular monitoring by an audiologist or ENT specialist is recommended.

#### Complications
- If not managed properly, symptoms may lead to difficulties in daily functioning, increased stress, sleep disturbances, and impaired communication.

#### Lifestyle & Prevention
- Protecting ears from loud noises using earplugs, routine hearing checks, and maintaining overall good health may help manage or prevent worsening of the condition.

#### When to Seek Professional Help
- Seek prompt medical attention if experiencing sudden changes in hearing, unmanageable ringing or noises in the ears, or any other distressing auditory disturbances.

#### Additional Resources
- The American Tinnitus Association (ATA)
- National Institute on Deafness and Other Communication Disorders (NIDCD)

#### Tips for Medical Coders
- Ensure specificity in documentation to accurately code bilateral auditory abnormalities.
- Avoid confusing this condition with unilateral auditory disorders by verifying any mention of both ears.

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