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Compare/H83.3 vs H90

H83.3 vs H90

H83.3 (Noise effects on inner ear) compared with H90 (Conductive and sensorineural hearing loss), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H90 carries an Excludes1 note covering H83.3: “noise-induced hearing loss (H83.3-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H83.3Noise effects on inner earH90Conductive and sensorineural hearing loss
Billing statusNon-billable header

Report instead: H83.3X1, H83.3X2, H83.3X3, H83.3X9

Non-billable header

Report instead: H90.0, H90.11, H90.12, H90.2, H90.3

ClassificationH60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)
DefinitionNoise effects on inner ear is a non-billable ICD-10-CM category code (H83.3).Conductive and sensorineural hearing loss is a non-billable ICD-10-CM category code (H90).
Includes
Acoustic trauma of inner ear
Noise-induced hearing loss of inner ear

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources