
Bilateral hearing loss: causes, treatment, and VA ratings
Bilateral hearing loss is a condition affecting both ears, making it challenging to hear sounds at normal levels. Understanding the causes, treatments, and relevant medical codes for bilateral hearing loss is essential for effective management and support. This comprehensive guide explores the intricacies of bilateral hearing loss, offering insights into its various aspects and providing helpful information for those affected by this condition.
What is bilateral hearing loss?
Sensorineural vs conductive hearing loss
Bilateral hearing loss causes
The causes of bilateral hearing loss vary and can include both genetic and environmental factors. Here are some of the most common causes of bilateral hypoacusis:
- Aging (age-related hearing loss)
- Exposure to loud noises
- Infections
- Head trauma
- Certain types of medications
Each of these factors can contribute to the gradual deterioration of the auditory system.
ICD-10 for bilateral hearing loss
The ICD-10-CM code for bilateral hearing loss, which generally refers to hearing loss in both ears, is H90.3. This code is specifically for bilateral sensorineural hearing loss. If the type of hearing loss is not specified, you might use a different code, but here are some relevant codes for various types of bilateral hearing loss:
- H90.3: Sensorineural hearing loss, bilateral
- H90.0: Conductive hearing loss, bilateral
- H90.6: Mixed conductive and sensorineural hearing loss, bilateral
These codes are used to document and classify the type of hearing loss for billing, medical records, and statistical purposes.
Bilateral sensorineural hearing loss ICD
The ICD (International Classification of Diseases) code for bilateral sensorineural hearing loss is typically used to classify and code diagnoses for billing and health records. As of the ICD-10-CM (Clinical Modification) coding system, the code for bilateral sensorineural hearing loss is H90.3. Here’s a breakdown of the relevant ICD-10-CM codes for sensorineural hearing loss:
- H90.3: Sensorineural hearing loss, bilateral
- H90.41: Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side
- H90.42: Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side
- H90.5: Unspecified sensorineural hearing loss
These codes are used by healthcare providers to accurately document and classify the type of hearing loss a patient is experiencing. For bilateral sensorineural hearing loss, H90.3 is the specific code that would be used.

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VA disability rating for bilateral hearing loss
Veterans experiencing bilateral hearing loss can apply for VA disability benefits. The VA rating for bilateral hearing loss is determined based on the severity of the condition and its impact on daily life. This rating helps veterans receive compensation and support for their hearing impairment. VA disability rating for bilateral hearing loss ranges from 0% to higher percentages, reflecting the degree of impairment. A higher rating indicates more severe hearing loss and greater impact on daily functioning.
Bilateral hearing loss VA disability: Veterans can receive compensation and support based on their rating, which takes into account the difficulties they face due to hearing loss. This support can include financial benefits, access to hearing aids, and other assistive devices.
Understanding the VA rating system and how it applies to bilateral hearing loss helps veterans navigate the process and obtain the benefits they need to manage their condition effectively.
VA disability rating: what is it?
Bilateral hearing loss & tinnitus VA compensation
Bilateral hearing loss symptoms
Bilateral hearing loss affects both ears and can manifest in various ways. Common symptoms include difficulty in understanding speech, especially in noisy environments, needing to turn up the volume on TV or radios, frequently asking others to repeat themselves, and relying on lip-reading to follow conversations. You might also experience muffled sounds, tinnitus (ringing in the ears), and problems hearing high-pitched voices.
How to diagnose bilateral hearing loss
Diagnosing bilateral hearing loss typically involves a comprehensive audiological evaluation. This assessment includes a detailed medical history, a physical examination of the ears, and hearing tests. Audiologists use specialized equipment to measure hearing thresholds at different pitches and volumes. Additional tests may be conducted to identify the underlying cause of hearing loss. Early detection and diagnosis are crucial for effective management and potential treatment options.

Bilateral hearing loss treatments
When addressing bilateral hearing loss, treatments can vary based on the underlying causes and severity of the condition. Often, hearing aids are a primary solution, amplifying sound to improve hearing. For cases where hearing aids are insufficient, cochlear implants may be recommended, especially if the hearing loss is severe or profound. These implants bypass damaged parts of the inner ear to directly stimulate the auditory nerve, providing clearer sound perception. Additionally, therapies focused on speech and language development can aid in improving communication skills for individuals affected by bilateral hearing loss. It's essential for those experiencing symptoms to consult with an audiologist or ear, nose, and throat specialist to explore the most suitable treatment options tailored to their specific needs and circumstances.
FAQs on bilateral hearing loss
What is bilateral sensorineural hearing loss?
What are the causes of bilateral hearing loss?
How is bilateral hearing loss treated?
Are age-related & bilateral hearing loss related?
What is the VA rating for bilateral hearing loss?
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