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

ICD-10 H91.10

Billable / Specific

Presbycusis, unspecified ear

H91
Block
0
Synonyms
69
LCDs
3
Payer Policies
0
Linked CPTs

About ICD-10-CM H91.10

ICD-10-CM code H91.10 represents Presbycusis, unspecified ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H91). The 2026 edition of ICD-10-CM H91.10 became effective on October 1, 2025.

Medicare LCD Coverage for H91.10

Local Coverage Determinations (LCDs) from CMS MACs that list H91.10 as a covered diagnosis.

69 LCDs

Showing top 10 of 69 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 92627 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT G0451 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 31579 →
CMS LCD: Billing and Coding: Speech-Language Pathology
Article ID: 52866, Effective: 2025-01-01 00:00:00, 169 covered, 0 non-covered
CPT 97533 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H91.10.

3 policies

3 Medicare

Billing and Coding: Speech-Language Pathology
Policy ID: ART-52866
Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
Policy ID: ART-56773
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434

CPT Codes Commonly Billed with H91.10

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

No procedure linkages on file for H91.10

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 H91.10 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H91.10 38801 10000

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

Codes Adjacent To H91.10

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 H90.5 Unspecified sensorineural hearing loss 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

ICD-10 H91.10, Billing FAQ

Is ICD-10 code H91.10 billable? +

Yes, H91.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H91.10 map to? +

Per CMS GEMs, H91.10 maps to ICD-9 codes: 38801. Useful for legacy data review and historical claim analysis.

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

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

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included