H90.4

⚠ Non-billable (Header)

Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side

Diseases of the ear and mastoid process (H60-H95)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

  • deaf nonspeaking NEC (H91.3)
  • deafness NOS (H91.9-)
  • hearing loss NOS (H91.9-)
  • noise-induced hearing loss (H83.3-)
  • ototoxic hearing loss (H91.0-)
  • sudden (idiopathic) hearing loss (H91.2-)

Clinical Description

ICD-10-CM code H90.4 represents sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side. This code falls under the Diseases of the ear and mastoid process (H60-H95) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 5-character code at the 4th level of specificity. There are 2 more specific child codes under H90.4. Coders should note that H90.4 has 6 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code H90.4?

ICD-10-CM code H90.4 is "Sensorineural hearing loss, unilateral with unrestricted hearing on the contralateral side". It belongs to the category: Diseases of the ear and mastoid process (H60-H95).

Is H90.4 a billable ICD-10 code?

No, H90.4 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with H90.4?

H90.4 has 6 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

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Code Information

CodeH90.4
BillableNo — Header code
ParentH90
CategoryDiseases of the ear and mastoid process (H60-H95)
Excludes16 rule(s)
Excludes20 note(s)
Child codes2

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)