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ICD-10/H90.A22

H90.A22 ICD-10-CM Code: Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
  • MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
  • MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side is a billable ICD-10-CM diagnosis code (H90.A22).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for H90.A22 in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Sensorineural hearing loss, unilateral, left ear, with restricted hearing on the contralateral side
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of H90.A22 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • H60-H95 — Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95) (H60-H95) [Hierarchy]
  • H90-H94 — Other disorders of ear [Hierarchy]

Referenced by Excludes1 notes

  • Q16 — Congenital malformations of ear causing impairment of hearing [Excludes1](via H90.-): “congenital deafness (H90.-)” · check together

Referenced by Code Also instructions

  • F80.4 — Speech and language development delay due to hearing loss [Code Also](via H90.-): “type of hearing loss (H90.-, H91.-)” · check together

Clinical classification (CCSR)

  • EAR004 — Hearing loss [CCSR]

Potential MS-DRG

  • DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)”
  • DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)”
  • DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)”

MDC crossing · procedures (5147)

  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat [MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 008F0ZZ — Division of Olfactory Nerve, Open Approach [Same-MDC procedure]: “Division of Olfactory Nerve, Open Approach — grouped in MDC 03, the procedure side of this code's crossing.” · check together
  • 008F3ZZ — Division of Olfactory Nerve, Percutaneous Approach [Same-MDC procedure]: “Division of Olfactory Nerve, Percutaneous Approach — grouped in MDC 03, the procedure side of this code's crossing.” · check together
  • 008F4ZZ — Division of Olfactory Nerve, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Division of Olfactory Nerve, Percutaneous Endoscopic Approach — grouped in MDC 03, the procedure side of this code's crossing.” · check together
  • 008G0ZZ — Division of Optic Nerve, Open Approach [Same-MDC procedure]: “Division of Optic Nerve, Open Approach — grouped in MDC 03, the procedure side of this code's crossing.” · check together
  • 008G3ZZ — Division of Optic Nerve, Percutaneous Approach [Same-MDC procedure]: “Division of Optic Nerve, Percutaneous Approach — grouped in MDC 03, the procedure side of this code's crossing.” · check together
  • and 5142 more

Nearest codes (25)

  • H90 — Conductive and sensorineural hearing loss [Sibling]
  • H90.0 — Conductive hearing loss, bilateral [Sibling]
  • H90.1 — Conductive hearing loss, unilateral with unrestricted hearing on the contralateral side [Sibling]
  • H90.11 — Conductive hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side [Sibling]
  • H90.12 — Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side [Sibling]
  • H90.2 — Conductive hearing loss, unspecified [Sibling]
  • H90.3 — Sensorineural hearing loss, bilateral [Sibling]
  • H90.4 — Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side [Sibling]
  • and 17 more

Change history

  • FY2017 — Added to the code set [Change history]

Referenced by Other Codes

Clinical classification (AHRQ CCSR):EAR004 — Hearing loss (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 154 (MDC 03), DRG 155 (MDC 03), DRG 156 (MDC 03).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name H90.A22 or its code family.

1 Excludes1 notes: Q16 (via H90.-).

1 Code Also instructions: F80.4 (via H90.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H90.A22 in its code family, with their registry titles.

  • H90.8 — Mixed conductive and sensorineural hearing loss, unspecified
  • 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.A11 — Conductive hearing loss, unilateral, right ear with restricted hearing on the contralateral side
  • H90.A12 — Conductive hearing loss, unilateral, left ear with restricted hearing on the contralateral side
  • H90.A2 — Sensorineural hearing loss, unilateral, with restricted hearing on the contralateral side
  • H90.A21 — Sensorineural hearing loss, unilateral, right ear, with restricted hearing on the contralateral side
  • H90.A3 — Mixed conductive and sensorineural hearing loss, unilateral with restricted hearing on the contralateral side
  • H90.A31 — Mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted hearing on the contralateral side
  • H90.A32 — Mixed conductive and sensorineural hearing loss, unilateral, left ear with restricted hearing on the contralateral side

View all codes in the H90 family