H93.25 — Central auditory processing disorder
H93.25 is a billable, specific ICD-10-CM code for central auditory processing disorder. 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.
- mixed receptive-expressive language disorder (F80.2)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Congenital auditory imperception
- Word deafness
Other codes that can never be billed with H93.25
These codes carry an Excludes1 note pointing at H93.25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H93.25 alone.
- F80.2Mixed receptive-expressive language disorder
Risk adjustment
H93.25 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
H93.25 is named in 15 Medicare coverage policies — 13 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A52866Billing and Coding: Speech-Language Pathology
- A53052Billing and Coding: Home Health Speech-Language Pathology
How H93.25 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 H93.25.
- Central auditory processing disorder
- Deafness›word(developmental)
- Disorder›auditory processing(central)
- Disorder›central auditory processing
- Imperception auditory›congenital
- Word›deafness(congenital) (developmental)
Related codes at this level
Codes that share H93.2. If H93.25 is not quite right, the correct code is usually one of these.
Questions about H93.25
- Is H93.25 a billable ICD-10-CM code?
- Yes. H93.25 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H93.25 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 H93.25?
- H93.25 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.