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H90.A21

Billable

Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Sensorineural hearing loss in the right ear only, with the left ear also having some degree of hearing loss or restriction.

Coding Tips

  • Confirm that the hearing loss is sensorineural (inner ear/nerve-related) and not conductive
  • Document the specific degree of hearing loss in the contralateral ear to support the 'restricted' designation

Code Hierarchy

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