Reimbursement for Audiology Services Related to Otitis
Media
There should be little or no problems associated with an
audiologist's claim for services related to otitis media if the
third party reimburses audiologists directly. Health insurance
plans rarely disallow diagnostic services for an acquired medical
disease or disorder. Medicare carriers typically include coverage
of testing for middle ear disorders in their Local Coverage
Determinations (LCDs).
Some of the codes listed for otitis media and related
disorders in the 2009 International Classification of Diseases,
Ninth Edition, Clinical Modification (ICD-9-CM) are:
381
Nonsuppurative otitis media & Eustachian tube disorders
381.0
Acute nonsupportive otitis media
381.00
Acute nonsuppurative otitis media, unspecified
381.01
Acute serous otitis media
381.02
Acute mucoid otitis media
381.03
Acute sanguineous otitis media
381.04
Acute allergic serous otitis media
381.05
Acute allergic mucoid otitis media
381.06
Acute allergic sanguinous otitis media
381.1
Chronic serous otitis media
381.10
Chronic otitis media, simple or unspecified
381.19
Other
381.2
Chronic mucoid otitis media
381.20
Chronic mucoid otitis media, simple or unspecified
381.29
Other
381.3
Other & unspecified chronic nonsuppurative otitis media
381.4
Nonsuppurative otitis media, not specified as acute or chronic
381.5
Eustachian salpingitis
381.50
Eustachian salpingitis, unspecified
381.51
Acute Eustachian salpingitis
381.52
Chronic Eustachian salpingitis
381.6
Obstruction of Eustachian tube
381.60
Obstruction of Eustachian tube, unspecified
381.61
Osseous obstruction of Eustachian tube
381.62
Intrinsic cartilagenous obstruction of Eustachian tube
381.63
Extrinsic cartilagenous obstruction of Eustachian tube
381.7
Patulous Eustachian tube
381.8
Other disorders of Eustachian tube
381.81
Dysfunction of Eustachian tube
381.89
Other
381.9
Unspecified Eustachian tube disorder
382
Suppurative & unspecified otitis media
382.0
Acute suppurative otitis media
382.00
Acut suppurative otitis media without spontaneous rupture of ear
drum
382.01
Acute suppurative otitis media with spontaneous rupture of ear
drum
382.02
Acute suppurative otitis media in diseases classified elsewhere
382.1
Chronic tubotympanic suppurative otitis media
382.2
Chronic atticoantral suppurative otitis media
382.3
Unspecified chronic suppurative otitis media
382.4
Unspecified suppurative otitis media
382.9
Unspecified otitis media
Relevant audiologic diagnostic codes are:
389
Hearing loss
389.0
Conductive hearing loss
389.00
Conductive hearing loss, unspecified
389.01
Conductive hearing loss, external ear
389.02
Conductive hearing loss, tympanic membrane
389.03
Conductive hearing loss, middle ear
389.04
Conductive hearing loss, inner ear
389.05
Conductive hearing loss, unilateral
389.06
Conductive hearing loss, bilateral
389.08
Conductive hearing loss of combined types