H90.A11
H90.A11 — Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side
Billable / specific codeICD-10-CMright
H90.A11 is a billable, specific ICD-10-CM code for conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side. It is valid for submission on a claim.
Risk adjustment
H90.A11 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.A11 is named in 17 Medicare coverage policies — 17 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
- A53052Billing and Coding: Home Health Speech-Language Pathology
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56497Billing and Coding: Vestibular Function Testing
Related codes at this level
Codes that share H90.A1. If H90.A11 is not quite right, the correct code is usually one of these.
Questions about H90.A11
- Is H90.A11 a billable ICD-10-CM code?
- Yes. H90.A11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H90.A11 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).