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

ICD-10 H93.0

Non-Billable Header

Degenerative and vascular disorders of ear

H93
Block
0
Synonyms
0
LCDs
0
Payer Policies
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Linked CPTs

About ICD-10-CM H93.0

ICD-10-CM code H93.0 represents Degenerative and vascular disorders of ear. This is a non-billable header code in the Ear and Mastoid Process chapter (block H93). The 2026 edition of ICD-10-CM H93.0 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with H93.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • presbycusis (H91.1)

Medicare LCD Coverage for H93.0

Local Coverage Determinations (LCDs) from CMS MACs that list H93.0 as a covered diagnosis.

No Medicare LCDs reference H93.0 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H93.0.

No commercial payer policies reference H93.0 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H93.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with H93.0

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

No procedure linkages on file for H93.0

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.

Codes Adjacent To H93.0

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 H93.0, Billing FAQ

Is ICD-10 code H93.0 billable? +

No, H93.0 is a non-billable header code. Use a more specific child code from block H93 when submitting claims.

What codes are Type 1 Excludes for H93.0? +

Type 1 Excludes (never code together with H93.0): presbycusis (H91.1)

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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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