Pulsatile tinnitus, bilateral

This code signifies the presence of pulsatile tinnitus affecting both ears. Pulsatile tinnitus is a rhythmic, often whooshing or throbbing sound perceived by the patient, typically synchronized with their heartbeat. It indicates an underlying vascular or circulatory issue.

Apply this code when documentation clearly states bilateral pulsatile tinnitus. This is often encountered in patients presenting with symptoms suggestive of vascular anomalies, increased intracranial pressure, or certain types of tumors. Supporting documentation should include physician notes detailing the bilateral nature and pulsatile quality of the tinnitus.

• Differentiate from non-pulsatile tinnitus (H93.A1-H93.A9) which has different underlying etiologies.
• Always confirm laterality; this code is specifically for bilateral involvement.
• Look for associated conditions that may require additional coding, such as vascular malformations or hypertension, as pulsatile tinnitus is often a symptom of another disorder.