H94.81 — Other specified disorders of right ear in diseases classified elsewhere
H94.81 is a billable, specific ICD-10-CM code for other specified disorders of right ear in diseases classified elsewhere. It is valid for submission on a claim.
Risk adjustment
H94.81 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
H94.81 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
H94.81 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 H94.8. If H94.81 is not quite right, the correct code is usually one of these.
Questions about H94.81
- Is H94.81 a billable ICD-10-CM code?
- Yes. H94.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H94.81 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).