ICD-10 · PDGM grouping
H69 Other and unspecified disorders of Eustachian tube
All 12 codes in the H69 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
12
Can lead a claim
9
Cannot lead a claim
3
What CMS assigns to H69
9 of the 12 codes group to MMTA - Other; 3 are assigned no clinical group. None of the 12 is assigned a comorbidity subgroup. 9 of the 12 can lead a claim.
Every code in H69
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H69.0 Patulous Eustachian tube | ||||
| H69.00 | Patulous Eustachian tube, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H69.01 | Patulous Eustachian tube, right ear | Can lead a claim | A | None |
| H69.02 | Patulous Eustachian tube, left ear | Can lead a claim | A | None |
| H69.03 | Patulous Eustachian tube, bilateral | Can lead a claim | A | None |
| H69.8 Other specified disorders of Eustachian tube | ||||
| H69.80 | Other specified disorders of Eustachian tube, unspecified earCMS: Oth disrd of Eustachian tube, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H69.81 | Other specified disorders of Eustachian tube, right ear | Can lead a claim | A | None |
| H69.82 | Other specified disorders of Eustachian tube, left ear | Can lead a claim | A | None |
| H69.83 | Other specified disorders of Eustachian tube, bilateral | Can lead a claim | A | None |
| H69.9 Unspecified Eustachian tube disorder | ||||
| H69.90 | Unspecified Eustachian tube disorder, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H69.91 | Unspecified Eustachian tube disorder, right ear | Can lead a claim | A | None |
| H69.92 | Unspecified Eustachian tube disorder, left ear | Can lead a claim | A | None |
| H69.93 | Unspecified Eustachian tube disorder, bilateral | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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