ICD-10 Code H93.A3 – Pulsatile tinnitus, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H93.A3 – Pulsatile tinnitus, bilateral
What it is
H93.A3 identifies tinnitus heard in both ears that pulses in time with the heartbeat. Use it when the record specifically documents bilateral pulsatile tinnitus.
Clinical signs
Patients describe rhythmic “whooshing” or “thumping” sounds synchronized with the pulse. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents pulsatile tinnitus affecting both ears, including bilateral symptoms or bilateral objective findings. It may appear in evaluations for vascular, middle ear, or other causes of pulse-synchronous ear noise. If laterality is not documented, check documentation.
Do not use for
Do not use it for nonpulsatile ringing, buzzing, or unspecified tinnitus. Do not assign it when the chart describes unilateral pulsatile tinnitus or only says “tinnitus” without bilateral detail.
Coding tip
Match the code to both the pulsatile nature and the bilateral laterality exactly as documented.