Hearing Readiness and Conservation
Clinical Hearing Services (CHS) 

 Clinical
Quantifying a Soldier's Hearing Readiness Classification, as well as determining the extent of injury from noise exposure, requires a more thorough evaluation than monitoring audiometry. Delivering these clinical services as far forward on the battlefield as possible is critical to providing leaders with Soldier hearing status information and limits unnecessary loss of duty time incurred if a Soldier is evacuated for these services.  Current operations have shown that it is feasible to place these sevices as far forward as the Combat Support Hospital (CSH).  In garrison, clinical audiology services are a part of the Soldier readiness cycle.

Clinical Hearing Services is one of the four components of the Army Hearing Program:

 Readiness, Operational, Clinical, Hearing Conservation

ng logo

National Guard Health Information Website

globeMilitary Audiology Headlines

Government

Stategies to Cope with Hearing Loss

Clinic Focuses on Noise Induced Hearing Loss

Protect Your Hearing for Your Future external link

Protect Your Young Child's Hearing external link

Hearing Center Tackles Troops' No. 1 Health Problem external link

Tinnitus: Look for Warning Signs, Increase Your Awareness external link

10th Mountain Division Tests TCAPS external link

Army Urges Soldiers to Protect Hearing external link

 

coding

 

Coding Resources

 

Government

The Coding Book for Military Occupational and Environmental Medicine external link

Armed Forces Health Surveillence Center Case Definitions external link

MHS Coding Guidelines external link

2014 MHS Professional Services and Coding Guidelines and Medical Coding Guidelines (zip files)

2013 MHS Professional Services and Coding Guidelines (Audiology begins on page 6-7) external link

Non-Government

2013 ICD-9-CM Diagnosis Codes Related to Speech and Hearing Disorders (ASHA) external link

ICD-9-CM Codes for Audiology (ASHA) external link

Current Procedural Terminology (CPT) Codes for Audiologist (ASHA) external link

AAA Practice Management external link

 

Resources

Non-Government

NASA EARLAB (Auditory Demonstration Laboratory) external link

Government

Noise and Military Service: Implications for Hearing Loss and Tinnitus (Institute of Medicine Consensus Report) external link

DoD Blast Injury Research Program external link

 VA Progressive Tinnitus Management: A Handbook for Audiologists external link

DCoE: Assessment and Management of Dizziness Associated with Mild TBI external link

DCoE for Physcological Health and Traumatic Brain Injury external link

eProfile Templates for Physical Profiles (milBook)

References

ALARACT 003/2009: Post-Deployment Audiograms (AKO only) external link

ALARACT 017/2011: Army Implementation of E-Profile (AKO only) external link

ALARACT 375/2010: Referral of Soldiers with H-3 Profiled Hearing Loss to a Medical Evaluation Board (MEB) or an MOS/Medical Retention Board (MMRB) (AKO only) external link

ALARACT 034/2013: ALARACT Clarification of AR 40-501/AR 190-56 Requirements for Speech Recognition in Noise Test (SPRINT) Administration (AKO only) external link