ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H90.5

Billable / Specific

Unspecified sensorineural hearing loss

H90
Block
6
Synonyms
177
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM H90.5

ICD-10-CM code H90.5 represents Unspecified sensorineural hearing loss. This is a billable/specific code in the Ear and Mastoid Process chapter (block H90). The 2026 edition of ICD-10-CM H90.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under H90.5. Per CMS ICD-10-CM Tabular 2026.

  • Central hearing loss NOS
  • Congenital deafness NOS
  • Neural hearing loss NOS
  • Perceptive hearing loss NOS
  • Sensorineural deafness NOS
  • Sensory hearing loss NOS

Type 1 Excludes

Pure excludes, these codes can never be coded together with H90.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • abnormal auditory perception (H93.2-)
  • psychogenic deafness (F44.6)

Medicare LCD Coverage for H90.5

Local Coverage Determinations (LCDs) from CMS MACs that list H90.5 as a covered diagnosis.

177 LCDs

Showing top 10 of 177 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H90.5.

9 policies

2 Aetna

Cochlear Implants and Auditory Brainstem Implants - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0013
Electrocochleogram and Perilymphatic Pressure Measurement
Policy ID: CPB-0564

5 Medicare

Billing and Coding: Speech-Language Pathology
Policy ID: ART-52866
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Speech-Language Pathology
Policy ID: ART-57040
Billing and Coding: Outpatient Psychiatry and Psychology Services
Policy ID: ART-57065

CPT Codes Commonly Billed with H90.5

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H90.5

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H90.5 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H90.5 38910 10000
H90.5 38914 10000
H90.5 38916 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To H90.5

Other codes in section H90-H94 (Other disorders of ear).

H90 Conductive and sensorineural hearing loss (non-billable) H90.0 Conductive hearing loss, bilateral H90.1 Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side (non-billable) H90.11 Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side H90.12 Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side H90.2 Conductive hearing loss, unspecified H90.3 Sensorineural hearing loss, bilateral H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side (non-billable) H90.41 Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side H90.42 Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side H90.6 Mixed conductive and sensorineural hearing loss, bilateral H90.7 Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side (non-billable) H90.71 Mixed conductive and sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side H90.72 Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side H90.8 Mixed conductive and sensorineural hearing loss, unspecified H90.A Conductive and sensorineural hearing loss with restricted hearing on the contralateral side (non-billable) H90.A1 Conductive hearing loss, unilateral, with restricted hearing on the contralateral side (non-billable) H90.A11 Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side H90.A12 Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side H90.A2 Sensorineural hearing loss, unilateral, with restricted hearing on the contralateral side (non-billable)

ICD-10 H90.5, Billing FAQ

Is ICD-10 code H90.5 billable? +

Yes, H90.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to H90.5? +

ICD-10 H90.5 includes: Central hearing loss NOS; Congenital deafness NOS; Neural hearing loss NOS, and 3 more clinical synonyms.

What codes are Type 1 Excludes for H90.5? +

Type 1 Excludes (never code together with H90.5): abnormal auditory perception (H93.2-); psychogenic deafness (F44.6)

What ICD-9 codes does H90.5 map to? +

Per CMS GEMs, H90.5 maps to ICD-9 codes: 38910, 38914, 38916. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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