H90.11

H90.11: Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side

Billable / specific codeICD-10-CMright

H90.11 is a billable, specific ICD-10-CM code for conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side. It is valid for submission on a claim.

Check H90.11 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H90.11

A category’s note binds every code beneath it.

Written on H90: Conductive and sensorineural hearing loss

deaf nonspeaking NEC (H91.3)
deafness NOS (H91.9-)
hearing loss NOS (H91.9-)
noise-induced hearing loss (H83.3-)
ototoxic hearing loss (H91.0-)
sudden (idiopathic) hearing loss (H91.2-)

Other codes that can never be billed with H90.11

Their own Excludes1 notes name this code, so the conflict is not listed above.

H91Other and unspecified hearing loss
Q16Congenital malformations of ear causing impairment of hearing

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H90.11 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52866Billing and Coding: Speech-Language Pathology
A53052Billing and Coding: Home Health Speech-Language Pathology
A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56497Billing and Coding: Vestibular Function Testing

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H90.1

H90.12Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side