October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

H90 Conductive and sensorineural hearing loss

All 18 codes in the H90 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

18

Can lead a claim

18

Cannot lead a claim

0

What CMS assigns to H90

All 18 codes group to MMTA - Other. None of the 18 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in H90

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
H90.0Conductive hearing loss, bilateralCan lead a claimANone
H90.1 Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.11Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral sideCMS: Condctv hear loss, uni, right ear, w unrestr hear cntra sideCan lead a claimANone
H90.12Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral sideCMS: Condctv hear loss, uni, left ear, w unrestr hear cntra sideCan lead a claimANone
H90.2Conductive hearing loss, unspecifiedCan lead a claimANone
H90.3Sensorineural hearing loss, bilateralCan lead a claimANone
H90.4 Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.41Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral sideCMS: Snsrnrl hear loss, uni, right ear, w unrestr hear cntra sideCan lead a claimANone
H90.42Sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral sideCMS: Snsrnrl hear loss, uni, left ear, w unrestr hear cntra sideCan lead a claimANone
H90.5Unspecified sensorineural hearing lossCan lead a claimANone
H90.6Mixed conductive and sensorineural hearing loss, bilateralCan lead a claimANone
H90.7 Mixed conductive and sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side
H90.71Mixed conductive and sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral sideCMS: Mix cndct/snrl hear loss,uni,r ear,w unrestr hear cntra sideCan lead a claimANone
H90.72Mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral sideCMS: Mix cndct/snrl hear loss,uni,l ear,w unrestr hear cntra sideCan lead a claimANone
H90.8Mixed conductive and sensorineural hearing loss, unspecifiedCan lead a claimANone
H90.A Conductive and sensorineural hearing loss with restricted hearing on the contralateral side
H90.A1 Conductive hearing loss, unilateral, with restricted hearing on the contralateral side
H90.A11Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral sideCMS: Condctv hear loss, uni, r ear with rstrcd hear cntra sideCan lead a claimANone
H90.A12Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral sideCMS: Condctv hear loss, uni, left ear with rstrcd hear cntra sideCan lead a claimANone
H90.A2 Sensorineural hearing loss, unilateral, with restricted hearing on the contralateral side
H90.A21Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral sideCMS: Snsrnrl hear loss, uni, r ear, with rstrcd hear cntra sideCan lead a claimANone
H90.A22Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral sideCMS: Snsrnrl hear loss, uni, l ear, with rstrcd hear cntra sideCan lead a claimANone
H90.A3 Mixed conductive and sensorineural hearing loss, unilateral with restricted hearing on the contralateral side
H90.A31Mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted hearing on the contralateral sideCMS: Mix cndct/snrl hear loss,uni,r ear w rstrcd hear cntra sideCan lead a claimANone
H90.A32Mixed conductive and sensorineural hearing loss, unilateral, left ear with restricted hearing on the contralateral sideCMS: Mix cndct/snrl hear loss,uni,l ear w rstrcd hear cntra sideCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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