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H91.03

H91.03Ototoxic hearing loss, bilateral

Billable / specific codeICD-10-CMbilateral

H91.03 is a billable, specific ICD-10-CM code for ototoxic hearing loss, bilateral. It is valid for submission on a claim.

Risk adjustment

H91.03 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

H91.03 is named in 13 Medicare coverage policies 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
  • A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck
  • A57434Billing and Coding: Vestibular and Audiologic Function Studies

Related codes at this level

Codes that share H91.0. If H91.03 is not quite right, the correct code is usually one of these.

Questions about H91.03

Is H91.03 a billable ICD-10-CM code?
Yes. H91.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H91.03 sit in the tabular list?
Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.