ICD-10 Code H93.A1 – Pulsatile tinnitus, right ear (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Pulsatile tinnitus, right ear is H93.A1.
2026 ICD-10-CM Diagnosis Code H93.A1 – Pulsatile tinnitus, right ear

What it is

H93.A1 identifies pulsatile tinnitus limited to the right ear. This means the patient hears a rhythmic sound, often described as pulsing or whooshing, that matches the heartbeat.

Clinical signs

Clinical features vary; refer to documentation. The key finding is a pulse-synchronous sound reported in the right ear, sometimes noted during history or exam as unilateral tinnitus.

When to use this code

Use this code when the provider documents pulsatile tinnitus affecting the right ear only. It is appropriate when the laterality is clear and the symptom is not documented as bilateral or unspecified.

If the record mentions a vascular or structural cause, code the symptom only when it is separately documented and still clinically relevant. Check documentation for the exact ear and any associated diagnosis.

Do not use for

Do not use H93.A1 for nonpulsatile tinnitus, bilateral tinnitus, or tinnitus with no stated laterality. Check documentation if the note does not clearly identify the right ear.

Coding tip

Confirm both pulsatile quality and right-sided laterality in the provider note before assigning H93.A1.

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