Perforation of tympanic membrane H72- >

Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • any associated otitis media (
    ICD-10-CM Diagnosis Code H65
    • H65 Nonsuppurative otitis media
      • H65.0 Acute serous otitis media
        • H65.00 …… unspecified ear
        • H65.01 …… right ear
        • H65.02 …… left ear
        • H65.03 …… bilateral
        • H65.04 Acute serous otitis media, recurrent, right e...
        • H65.05 Acute serous otitis media, recurrent, left ea...
        • H65.06 Acute serous otitis media, recurrent, bilater...
        • H65.07 Acute serous otitis media, recurrent, unspeci...
      • H65.1 Other acute nonsuppurative otitis media
        • H65.11 Acute and subacute allergic otitis media (muc...
          • H65.111 Acute and subacute allergic otitis media (muc...
          • H65.112 Acute and subacute allergic otitis media (muc...
          • H65.113 Acute and subacute allergic otitis media (muc...
          • H65.114 Acute and subacute allergic otitis media (muc...
          • H65.115 Acute and subacute allergic otitis media (muc...
          • H65.116 Acute and subacute allergic otitis media (muc...
          • H65.117 Acute and subacute allergic otitis media (muc...
          • H65.119 Acute and subacute allergic otitis media (muc...
        • H65.19 Other acute nonsuppurative otitis media
          • H65.191 Other acute nonsuppurative otitis media, righ...
          • H65.192 Other acute nonsuppurative otitis media, left...
          • H65.193 Other acute nonsuppurative otitis media, bila...
          • H65.194 Other acute nonsuppurative otitis media, recu...
          • H65.195 Other acute nonsuppurative otitis media, recu...
          • H65.196 Other acute nonsuppurative otitis media, recu...
          • H65.197 Other acute nonsuppurative otitis media recur...
          • H65.199 Other acute nonsuppurative otitis media, unsp...
      • H65.2 Chronic serous otitis media
      • H65.3 Chronic mucoid otitis media
      • H65.4 Other chronic nonsuppurative otitis media
        • H65.41 Chronic allergic otitis media
        • H65.49 Other chronic nonsuppurative otitis media
          • H65.491 Other chronic nonsuppurative otitis media, ri...
          • H65.492 Other chronic nonsuppurative otitis media, le...
          • H65.493 Other chronic nonsuppurative otitis media, bi...
          • H65.499 Other chronic nonsuppurative otitis media, un...
      • H65.9 Unspecified nonsuppurative otitis media
        • H65.90 Unspecified nonsuppurative otitis media, unsp...
        • H65.91 Unspecified nonsuppurative otitis media, righ...
        • H65.92 Unspecified nonsuppurative otitis media, left...
        • H65.93 Unspecified nonsuppurative otitis media, bila...
    H65.-
    ,
    ICD-10-CM Diagnosis Code H66.1

    Chronic tubotympanic suppurative otitis media

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Benign chronic suppurative otitis media
    • Chronic tubotympanic disease
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    H66.1-
    ,
    ICD-10-CM Diagnosis Code H66.2

    Chronic atticoantral suppurative otitis media

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic atticoantral disease
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    H66.2-
    ,
    ICD-10-CM Diagnosis Code H66.3

    Other chronic suppurative otitis media

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic suppurative otitis media NOS
    Type 1 Excludes
    • tuberculous otitis media (A18.6)
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    H66.3-
    ,
    ICD-10-CM Diagnosis Code H66.4

    Suppurative otitis media, unspecified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Purulent otitis media NOS
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    H66.4-
    ,
    ICD-10-CM Diagnosis Code H66.9

    Otitis media, unspecified

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Otitis media NOS
    • Acute otitis media NOS
    • Chronic otitis media NOS
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    H66.9-
    ,
    ICD-10-CM Diagnosis Code H67
    • H67 Otitis media in diseases classified elsewhere...
      • H67.1 Otitis media in diseases classified elsewhere...
      • H67.2 Otitis media in diseases classified elsewhere...
      • H67.3 Otitis media in diseases classified elsewhere...
      • H67.9 Otitis media in diseases classified elsewhere...
    H67.-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H72. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute suppurative otitis media with rupture of the tympanic membrane (
    ICD-10-CM Diagnosis Code H66.01

    Acute suppurative otitis media with spontaneous rupture of ear drum

      2016 2017 2018 Non-Billable/Non-Specific Code
    H66.01-
    )
  • traumatic rupture of ear drum (
    ICD-10-CM Diagnosis Code S09.2

    Traumatic rupture of ear drum

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • traumatic rupture of ear drum due to blast injury (S09.31-)
    S09.2-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • persistent post-traumatic perforation of ear drum
  • postinflammatory perforation of ear drum
Clinical Information
Codes