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.

Check H90.5 with the rest of the claim: free scrubber

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

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 H90.5

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

H90.5 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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

Alphabetic index entries that lead here

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

Unchanged in every release from FY2024 to FY2027.