H90.12: Conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side

H90.12, conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side, is listed as a covered diagnosis in 3 Medicare billing and coding articles that apply to 12 HCPCS Level II codes, including G0451 (Development testing, with interpretation and report, per…), G0153 (Services performed by a qualified speech-language…), G0161 (Services performed by a qualified speech-language…). The articles come from 2 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with H90.12 as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
G0451Development testing, with interpretation and report, per standardized instrument formCarrier judgment—1
G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutesCarrier judgment—1
G0161Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutesCarrier judgment—1
G2187Patients with clinical indications for imaging of the head: head traumaCarrier judgment—1
G2188Patients with clinical indications for imaging of the head: new or change in headache above 50 years of ageCarrier judgment—1
G2189Patients with clinical indications for imaging of the head: abnormal neurologic examCarrier judgment—1
G2190Patients with clinical indications for imaging of the head: headache radiating to the neckCarrier judgment—1
G2191Patients with clinical indications for imaging of the head: positional headachesCarrier judgment—1
G2192Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of ageCarrier judgment—1
G2193Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)Carrier judgment—1
G2194Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behaviorCarrier judgment—1
G2195Patients with clinical indications for imaging of the head: occipital headache in childrenCarrier judgment—1

Medicare policy articles listing H90.12

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other H90 diagnoses (Conductive and sensorineural hearing loss)

Frequently asked questions

Does Medicare cover H90.12 (Conductive hearing loss, unilateral, left ear, with…)?

Medicare covers items and services, not diagnoses. 3 Medicare billing and coding articles list H90.12 as a covered diagnosis for 12 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 H90.12?

The Level II codes from the policies most specific to this diagnosis are G0451 (Development testing, with interpretation and report, per…, 1 article); G0153 (Services performed by a qualified speech-language…, 1 article); G0161 (Services performed by a qualified speech-language…, 1 article); G2187 (Patients with clinical indications for imaging of the…, 1 article); G2188 (Patients with clinical indications for imaging of the…, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list H90.12?

A52866 (Billing and Coding: Speech-Language Pathology); A53052 (Billing and Coding: Home Health Speech-Language Pathology); A56612 (Billing and Coding: CT of the Head).

What is ICD-10-CM code H90.12?

H90.12 is the ICD-10-CM code for conductive hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side, in category H90 (Conductive and sensorineural hearing loss), chapter 8: Diseases of the ear and mastoid process.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 8: Diseases of the ear and mastoid process · All diagnoses · HCPCS lookup