H90.A31: Mixed conductive and sensorineural hearing loss, unilateral, right ear 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, is listed as a covered diagnosis in 4 Medicare billing and coding articles that apply to 30 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.A31 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
C8900Magnetic resonance angiography with contrast, abdomenSpecial coverage instructions apply—1
C8901Magnetic resonance angiography without contrast, abdomenSpecial coverage instructions apply—1
C8902Magnetic resonance angiography without contrast followed by with contrast, abdomenSpecial coverage instructions apply—1
C8909Magnetic resonance angiography with contrast, chest (excluding myocardium)Special coverage instructions apply—1
C8910Magnetic resonance angiography without contrast, chest (excluding myocardium)Special coverage instructions apply—1
C8911Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)Special coverage instructions apply—1
C8912Magnetic resonance angiography with contrast, lower extremitySpecial coverage instructions apply—1
C8913Magnetic resonance angiography without contrast, lower extremitySpecial coverage instructions apply—1
C8914Magnetic resonance angiography without contrast followed by with contrast, lower extremitySpecial coverage instructions apply—1
C8918Magnetic resonance angiography with contrast, pelvisSpecial coverage instructions apply—1
C8919Magnetic resonance angiography without contrast, pelvisSpecial coverage instructions apply—1
C8920Magnetic resonance angiography without contrast followed by with contrast, pelvisSpecial coverage instructions apply—1
C8931Magnetic resonance angiography with contrast, spinal canal and contentsSpecial coverage instructions apply—1
C8932Magnetic resonance angiography without contrast, spinal canal and contentsSpecial coverage instructions apply—1
C8933Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contentsSpecial coverage instructions apply—1
C8934Magnetic resonance angiography with contrast, upper extremitySpecial coverage instructions apply—1
C8935Magnetic resonance angiography without contrast, upper extremitySpecial coverage instructions apply—1
C8936Magnetic resonance angiography without contrast followed by with contrast, upper extremitySpecial coverage instructions apply—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

5 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing H90.A31

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.A31 (Mixed conductive and sensorineural hearing loss…)?

Medicare covers items and services, not diagnoses. 4 Medicare billing and coding articles list H90.A31 as a covered diagnosis for 30 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.A31?

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); C8900 (Magnetic resonance angiography with contrast, abdomen, 1 article); C8901 (Magnetic resonance angiography without contrast, abdomen, 1 article). Code choice depends on the item supplied; check each code's descriptor.

Which Medicare policy articles list H90.A31?

A52866 (Billing and Coding: Speech-Language Pathology); A53052 (Billing and Coding: Home Health Speech-Language Pathology); A56775 (Billing and Coding: Magnetic Resonance Angiography), and 1 more article.

What is ICD-10-CM code H90.A31?

H90.A31 is the ICD-10-CM code for mixed conductive and sensorineural hearing loss, unilateral, right ear with restricted 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