Tinnitus Handicap Inventory THI - Hearing Services Merrill 2025

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The patient with a THI score of 0-16 is classified as slight, 18-36 as mild, 38-56 as moderate, 58-76 as severe, and 78-100 as catastrophic tinnitus.
The Tinnitus Handicap Inventory (THI; Newman et al., 1996) is a 25-item self-report measure to determine perceived tinnitus handicap severity. The THI is a useful measure for determining the efficacy of psychological treatment for tinnitus (Zeman et al., 2011).
TinniTus Handicap invenTory severiTy scaLe 1 0-16 Slight: Only heard in quiet environment, very easily masked. No interference with sleep or daily activities. 2 18-36 Mild: Easily masked by environmental sounds and easily forgotten with activities. May occasionally interfere with sleep but not daily activities.
Based on the total score, the severity of tinnitus is classified as follows: slight (0-16), mild (18) (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36), moderate (38-56), severe (58-76), and catastrophic (78 and above).
The THI score of 0-16 means no or slight handicap, 18 to 36 indicates mild, 38 to 56 indicates moderate, 58 to 76 indicates severe, and a score of 78-100 is classified as catastrophic handicap. Mun, et al.
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Severity Grades based on perceived tinnitus handicap inventory: 016 Grade 1 - Slight or no handicap. 1836 Grade 2 - Mild handicap. Easily masked by environmental sounds and easily forgotten with activities. 3856 Grade 3 - Moderate handicap. 5876 Grade 4 - Severe handicap. 78100 Grade 5 - Catastrophic handicap.
The TSI is a measure of how much tinnitus negatively impacts a patients life and how bothersome patients perceive their tinnitus to be. Numerous studies in our clinic (and others around the world) have consistently shown that the matched pitch and loudness of tinnitus are not correlated with its severity.
Current Rating System As of now, tinnitus is rated under Diagnostic Code (DC) 6260, where it can be rated at either 10% or not at all. Theres no provision for a higher or lower rating, nor is there a bilateral factor (affecting both ears).

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