ICD-10 Code H91.21 – Sudden idiopathic hearing loss, right ear (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Sudden idiopathic hearing loss, right ear is H91.21.
2026 ICD-10-CM Diagnosis Code H91.21 – Sudden idiopathic hearing loss, right ear

What it is

This code identifies a sudden, unexplained loss of hearing in the right ear. Use it when the record documents idiopathic onset and the right side is specifically involved.

Clinical signs

Typical findings include rapid hearing decrease, often over hours to days, with no clear cause documented. Clinical features vary; refer to documentation for laterality, severity, and associated symptoms.

When to use this code

Use H91.21 when the clinician diagnoses sudden idiopathic hearing loss affecting only the right ear. The chart should support sudden onset and exclude a known cause such as trauma, infection, or medication effect. If documentation is incomplete, check documentation before assigning the code.

Do not use for

Do not use this code for left ear or bilateral sudden hearing loss, or when the hearing loss has a documented cause. If the record does not specify idiopathic and right-sided involvement, check documentation.

Coding tip

Confirm both sudden onset and right-ear laterality in the provider note before coding.

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