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H90 ICD-10-CM Code: Conductive and sensorineural hearing loss

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Diseases of the ear and mastoid process (H60-H95) / Other disorders of ear (H90-H94)

H90

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Conductive and sensorineural hearing loss

Conductive and sensorineural hearing loss

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
H9Other disorders of ear (H90-H94)
H90Conductive and sensorineural hearing loss

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H90 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H90 in this effective period.

Related Child Codes

Official
H90.0Conductive hearing loss, bilateral
H90.1Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.2Conductive hearing loss, unspecified
H90.3Sensorineural hearing loss, bilateral
H90.4Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side

Includes

Official

ICD-10-CM does not list Includes notes for H90 in this effective period.

Excludes 1

Official
  • 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-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H90 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H90 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H90 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

H90 is the ICD-10-CM diagnosis code for conductive and sensorineural hearing loss. H90 sits in the ICD-10-CM chapter for diseases of the ear and mastoid process (h60-h95), within the section covering other disorders of ear (h90-h94).

Header codes like H90 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H90's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H90 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • 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-)

Child Codes

Code Hierarchy

H90Conductive and sensorineural hearing loss
H90Conductive and sensorineural hearing loss

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