Is H90.5 a billable ICD-10-CM code?

Yes. H90.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H90.5 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).

What cannot be coded together with H90.5?

H90.5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H90.5 (H90) and apply to it just the same.

H90.5

H90.5 — Unspecified sensorineural hearing loss

Billable / specific codeICD-10-CM

H90.5 is a billable, specific ICD-10-CM code for unspecified sensorineural hearing loss. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

abnormal auditory perception (H93.2-)
psychogenic deafness (F44.6)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Central hearing loss NOS
Congenital deafness NOS
Neural hearing loss NOS
Perceptive hearing loss NOS
Sensorineural deafness NOS
Sensory hearing loss NOS

Excludes1 inherited from the categories above H90.5

These are not written on H90.5, but they bind it: a note on a category applies to every code beneath it. Billing H90.5 with anything listed here is a denial.

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 H90.5

These codes carry an Excludes1 note pointing at H90.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H90.5 alone.

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

Risk adjustment

H90.5 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.

Medicare coverage

H90.5 is named in 15 Medicare coverage policies — 15 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52866Billing and Coding: Speech-Language Pathology
A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
A57040Billing and Coding: Speech-Language Pathology

How H90.5 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H90.5.

Deafness›congenital
Deafness›sensorineural
Loss›hearing›central NOS
Loss›hearing›neural NOS
Loss›hearing›perceptive NOS
Loss›hearing›sensorineural NOS
Loss›hearing›sensory NOS

Code history

H90.5 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H90. If H90.5 is not quite right, the correct code is usually one of these.

Questions about H90.5

Is H90.5 a billable ICD-10-CM code?: Yes. H90.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H90.5 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).
What cannot be coded together with H90.5?: H90.5 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H90.5 (H90) and apply to it just the same.