H91.03
H91.03 — Ototoxic hearing loss, bilateral
Billable / specific codeICD-10-CMbilateral
H91.03 is a billable, specific ICD-10-CM code for ototoxic hearing loss, bilateral. It is valid for submission on a claim.
Risk adjustment
H91.03 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
H91.03 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57434Billing and Coding: Vestibular and Audiologic Function Studies
Code history
H91.03 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share H91.0. If H91.03 is not quite right, the correct code is usually one of these.
Questions about H91.03
- Is H91.03 a billable ICD-10-CM code?
- Yes. H91.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H91.03 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).