H93.242
H93.242 — Temporary auditory threshold shift, left ear
Billable / specific codeICD-10-CMleft
H93.242 is a billable, specific ICD-10-CM code for temporary auditory threshold shift, left ear. It is valid for submission on a claim.
Risk adjustment
H93.242 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
H93.242 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53052Billing and Coding: Home Health Speech-Language Pathology
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
- A56868Billing and Coding: Outpatient Speech Language Pathology
Code history
H93.242 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 H93.24. If H93.242 is not quite right, the correct code is usually one of these.
Questions about H93.242
- Is H93.242 a billable ICD-10-CM code?
- Yes. H93.242 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H93.242 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).