H90.42
H90.42: Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side
Billable / specific codeICD-10-CMleft
H90.42 is a billable, specific ICD-10-CM code for sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side. It is valid for submission on a claim.
Check H90.42 with the rest of the claim: free scrubberExcludes1 inherited from the categories above H90.42
A category’s note binds every code beneath it.
Other codes that can never be billed with H90.42
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H90.42 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.