H90.4
H90.4 — Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
Non-billable headerICD-10-CM
H90.4 is a non-billable header ICD-10-CM code for sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
H90.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead H90.4
2 child codes. Green means billable.
Related codes at this level
Codes that share H90. If H90.4 is not quite right, the correct code is usually one of these.
- H90.0Conductive hearing loss, bilateral
- H90.1Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side
- H90.2Conductive hearing loss, unspecified
- H90.3Sensorineural hearing loss, bilateral
- H90.5Unspecified sensorineural hearing loss
- H90.6Mixed conductive and sensorineural hearing loss, bilateral
- H90.7Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
- H90.8Mixed conductive and sensorineural hearing loss, unspecified
- H90.AConductive and sensorineural hearing loss with restricted hearing on the contralateral side
Questions about H90.4
- Is H90.4 a billable ICD-10-CM code?
- No. H90.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H90.4 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).