H91.09

Ototoxic hearing loss, unspecified ear

FY2027Chapter 8: Diseases of the ear and mastoid process/H90–H94 Other disorders of ear

BillableComplete code, valid to report

H91.09 (also written H9109) is a billable ICD-10-CM diagnosis code for ototoxic hearing loss, unspecified ear. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 21 codes in category H91 (Other and unspecified hearing loss). Its coding notes include a Code first instruction, a Use additional code instruction, 6 Excludes1 entries and 8 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from H91.0 Ototoxic hearing loss
  • poisoning due to drug or toxin, if applicable (T36-T65 with fifth or sixth character 1-4)

Use additional code

Add the listed code as a secondary code, if known.

Inherited from H91.0 Ototoxic hearing loss
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from H91 Other and unspecified hearing loss
  • abnormal auditory perception (H93.2-)
  • hearing loss as classified in H90.-
  • impacted cerumen (H61.2-)
  • noise-induced hearing loss (H83.3-)
  • psychogenic deafness (F44.6)
  • transient ischemic deafness (H93.01-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition