This is not a comprehensive list but a preliminary list of the most common codes. ICD stands for International Classification of Diseases. It has been established by the World Health Organization and is in its tenth edition, hence ICD-10. According to the WHO, no alteration or change whatsoever of the ICD-10 codes is permitted. The Medical Schemes Act 131 of 1998 rules that in terms of Regulation 5(f) all registered providers of healthcare services are required to submit a diagnostic code on all invoices supplied to medical scheme members and all claims submitted to medical schemes for reimbursement.  It was recommended that service providers begin using ICD10 codes on all accounts from the 1 September 2003 with the hope that it would have been legitimized by 1 January 2005. This has now been pushed out to 1 June 2005. When using ICD 10 codes it is important to remember that Medical Aid Schemes may reject accounts based on the ICD 10 code used if they deem that the diagnostic code does not fall within the scope of a medical condition. Thus, it is incumbent on the professional to use an appropriate code.   AUDIOLOGY CODES Code Description Notes Description Comments by AfriCode   H72 Perforation of tympanic membrane Includes: perforation of ear drum: persistent post traumatic or postinflammatory Excludes: traumatic rupture of ear drum (S09.2)   Do not use this code, it is an invalid 3 digit code, use the 4 digit codes below           H81.0 Meniere's disease   Labyrinthine hydrops, Meniere's syndrome or vertigo   H81.1 Benign paroxysmal vertigo       H81.9 Disorder of vestibular dysfunction, Unspecified   Vertiginous syndrome NO Avoid the use of .9 codes if possible         H83.2 Labyrinthine dysfunction   Hypersensitivity, hypofunction, loss of function of labyrinth H83.3 Noise effects on inner ear   Acoustic trauma, Noise-induced hearing loss H90 Conductive and Sensorineural Hearing Loss Includes: congenital deafness     Excludes:deaf mutism NEC (H91.3), hearing loss: NOS (H91.9), noise-induced (H83.3), ototoxic (H91.0), sudden (idiopathic) (H91.2)   Donot use this code, it is an invalid 3 digit code, use the 4 digit codes below H90.0 Conductive Hearing Loss: Bilateral     H90.1 Conductive Hearing Loss, unilateral with unrestricted hearing on the contralateral side     H90.2 Conductive Hearing Loss: Unspecified   conductive deafness NOS H90.3 Sensori Neural Hearing Loss: Bilateral     H90.4 Sensorineural Hearing Loss, Unilateral with Unrestricted Hearing on the Contralateral Side     H90.5 Sensori Neural Hearing Loss: Unspecified Congenital deafness NOS, Hearing loss: central,neural,perceptive, sensory NOS, Sensorineural deafness NOS   H90.6 Mixed conductive and sensorineural hearing loss: Bilateral     H90.7 Mixed conductive and sensori hearing loss, unilateral with unrestricted hearing on the contralateral side     H90.8 Mixed conductive and sensoineural hearing loss, unspecified     H92.1 Otorrhoea Excludes: leakage of cerebrospinal fluid through ear (G96.0)           H93.1  Tinnitus     H93.2 Abnormal Auditory Perception Excludes:auditory hallucinations (R44.0) Auditory recruitment , diplacusis ,hyperacusis , temporary auditory threshold shift  H93.2 Other abnormal auditory perceptions     R42 Dizziness and Giddiness Excludes:Vertiginous syndrome (H81.-) Light-headedness, Vertigo NOS         S09.2 Traumatic rupture of ear drum     T16 Foreign body in ear     Use an external cause code (chapter 20) as an additional code Z09.0 Follow-up examination after surgery for other conditions     Code the other condition as the secondary diagnosis Z45.3 Adjustment and management of implanted hearing device   Adjustment and fitting of bone conduction device or cochlear device Z46.1 Fitting and Adjustment of hearing aid                     Z71.2 Person consulting for explanation of investigation findings     Z71.8 Other specified counselling       SPEECH THERAPY F 80 Disorders in which normal patterns of language acquisition are disturbed from the early stages of development. The conditions are not directly attributable to neurological or speech mechanism abnormalities, sensory impairments, mental retardation, or environmental factors. Specific developmental disorders of speech and language are often followed by associated problems, such as reading and spelling, abnormalities in interpersonal relationships and emotional and behavioural disorders.     F80.0 Specific Speech Articulation Disorder  A specific developmental disorder in which the child's use of speech sounds is below the appropriate level for its mental age, but in which there is a normal level of language skills.  Excludes:                Speech articulation impairment (due to): aphasia NOS (R47.0), apraxia (R48.2), hearing loss (H90-H91), mental retardation (F79-F79), with language developmental disorder: expressive (F80.1), receptive (F80.2) Developmental phonological disorder                                       Developmental speech articulation disorder F80.1 Expressive Language Disorder           A specific developmental disorder in which the child's ability to use expressive spoken language development is markedly below the appropriate level for its mental age , but in which language comprehension is within normal limits. There may or may not be abnormalities in articulation.  Excludes:              acquired aphasia with epilepsy (Landau-Kleffner) (F80.3) , acquired aphasia with epilepsy (Landau-Kleffner) (F80.3) , developmental dysphasia or aphasia, receptive type (F80.2),dysphasia or aphasia NOS (R47.0), mental retardation (F70-F79),  pervasive developmental disorder (F84.-)  Developmental dysphasia or aphasia, expressive type F80.2 Receptive Language Disorder            A specific developmental disorder in which the child's understanding of language is below the appropriate level for its mental age. In virtually all cases expressive language will also be markedly affected and abnormalities in word-sound production are common.  Excludes:                  acquired aphasia with epilepsy [Landau-Kleffener] (F80.3), autism (F84.0-F84.1), dysphasia and aphasia: NOS (R47.0), expressive type (F80.1), elective mutism (F94.0), language delay due to deafness (H90-H91), mental retardation ((F70-F79) Congenital auditory perception     Developmental dysphasia or aphasia, receptive type               Developmental Wernicke's aphasia                                     Word deafness               F80.9 Developmental disorders of speech and language: Unspecified   Language disorder NOS F98.5 Stuttering (Stammering)            Speech that is characterized by frequent repetition or prolongation of sounds or syllables or words, or by frequent hesitations or pauses that disrupt the rhythmic flow of speech. It should be classified as a disorder only if its severity is such as to markedly disturb the fluency of speech. Excludes:              cluttering (F98.6), tic disorders (F95.-)   R13 Dysphagia   Difficulty in swallowing R47.0 Dysphasia and Aphasia Excludes: Progressive isolated aphasia (G31.0) R47.1 Dysarthria and Anarthria     R48.2 Apraxia     R49 Voice disturbances Excludes: Psychogenic voice disturbances (F44.4) Donot use this code, it is an invalid 3 digit code, use the 4 digit codes below R49.0 Dysphonia   Hoarseness R49.1 Aphonia   Loss of voice R49.2 Hypernasality and hyponasality     R49.8 Other and unspecified voice disturbances   Change in voice NOS Z50.5 Speech Therapy     U98.0 Patient refused to disclose clinical information Code approved by the ICD-10 implementation task  team U98.1 Practitioner refused to disclose clinical information Code approved by the ICD-10 implementation task  team