ICD-10 · PDGM grouping
H95 Intraoperative and postprocedural complications and disorders of ear and mastoid process, not elsewhere classified
All 36 codes in the H95 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.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
36
Can lead a claim
30
Cannot lead a claim
6
What CMS assigns to H95
30 of the 36 codes group to MMTA - Other; 6 are assigned no clinical group. None of the 36 is assigned a comorbidity subgroup. 30 of the 36 can lead a claim.
Every code in H95
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 |
|---|---|---|---|---|
| H95.0 Recurrent cholesteatoma of postmastoidectomy cavity | ||||
| H95.00 | Recurrent cholesteatoma of postmastoidectomy cavity, unspecified earCMS: Recur cholesteatoma of postmastoidectomy cavity, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H95.01 | Recurrent cholesteatoma of postmastoidectomy cavity, right earCMS: Recur cholesteatoma of postmastoidectomy cavity, right ear | Can lead a claim | A | None |
| H95.02 | Recurrent cholesteatoma of postmastoidectomy cavity, left earCMS: Recur cholesteatoma of postmastoidectomy cavity, left ear | Can lead a claim | A | None |
| H95.03 | Recurrent cholesteatoma of postmastoidectomy cavity, bilateral earsCMS: Recurrent cholesteatoma of postmastoidectomy cavity, bi ears | Can lead a claim | A | None |
| H95.1 Other disorders of ear and mastoid process following mastoidectomy | ||||
| H95.11 Chronic inflammation of postmastoidectomy cavity | ||||
| H95.111 | Chronic inflammation of postmastoidectomy cavity, right ear | Can lead a claim | A | None |
| H95.112 | Chronic inflammation of postmastoidectomy cavity, left ear | Can lead a claim | A | None |
| H95.113 | Chronic inflammation of postmastoidectomy cavity, bilateral earsCMS: Chronic inflam of postmastoidectomy cavity, bilateral ears | Can lead a claim | A | None |
| H95.119 | Chronic inflammation of postmastoidectomy cavity, unspecified earCMS: Chronic inflammation of postmastoidectomy cavity, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H95.12 Granulation of postmastoidectomy cavity | ||||
| H95.121 | Granulation of postmastoidectomy cavity, right ear | Can lead a claim | A | None |
| H95.122 | Granulation of postmastoidectomy cavity, left ear | Can lead a claim | A | None |
| H95.123 | Granulation of postmastoidectomy cavity, bilateral ears | Can lead a claim | A | None |
| H95.129 | Granulation of postmastoidectomy cavity, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H95.13 Mucosal cyst of postmastoidectomy cavity | ||||
| H95.131 | Mucosal cyst of postmastoidectomy cavity, right ear | Can lead a claim | A | None |
| H95.132 | Mucosal cyst of postmastoidectomy cavity, left ear | Can lead a claim | A | None |
| H95.133 | Mucosal cyst of postmastoidectomy cavity, bilateral ears | Can lead a claim | A | None |
| H95.139 | Mucosal cyst of postmastoidectomy cavity, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H95.19 Other disorders following mastoidectomy | ||||
| H95.191 | Other disorders following mastoidectomy, right ear | Can lead a claim | A | None |
| H95.192 | Other disorders following mastoidectomy, left ear | Can lead a claim | A | None |
| H95.193 | Other disorders following mastoidectomy, bilateral ears | Can lead a claim | A | None |
| H95.199 | Other disorders following mastoidectomy, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H95.2 Intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure | ||||
| H95.21 | Intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure on the ear and mastoid processCMS: Intraop hemor/hemtom of ear/mastd comp a proc on ear/mastd | Can lead a claim | A | None |
| H95.22 | Intraoperative hemorrhage and hematoma of ear and mastoid process complicating other procedureCMS: Intraop hemor/hemtom of ear/mastd complicating oth procedure | Can lead a claim | A | None |
| H95.3 Accidental puncture and laceration of ear and mastoid process during a procedure | ||||
| H95.31 | Accidental puncture and laceration of the ear and mastoid process during a procedure on the ear and mastoid processCMS: Acc pnctr & lac of the ear/mastd dur proc on the ear/mastd | Can lead a claim | A | None |
| H95.32 | Accidental puncture and laceration of the ear and mastoid process during other procedureCMS: Accidental pnctr & lac of the ear/mastd during oth procedure | Can lead a claim | A | None |
| H95.4 Postprocedural hemorrhage of ear and mastoid process following a procedure | ||||
| H95.41 | Postprocedural hemorrhage of ear and mastoid process following a procedure on the ear and mastoid processCMS: Postprocedural hemorrhage of ear/mastd fol proc on ear/mastd | Can lead a claim | A | None |
| H95.42 | Postprocedural hemorrhage of ear and mastoid process following other procedureCMS: Postproc hemorrhage of ear/mastd following other procedure | Can lead a claim | A | None |
| H95.5 Postprocedural hematoma and seroma of ear and mastoid process following a procedure | ||||
| H95.51 | Postprocedural hematoma of ear and mastoid process following a procedure on the ear and mastoid processCMS: Postprocedural hematoma of ear/mastd fol proc on ear/mastd | Can lead a claim | A | None |
| H95.52 | Postprocedural hematoma of ear and mastoid process following other procedureCMS: Postproc hematoma of ear/mastd following other procedure | Can lead a claim | A | None |
| H95.53 | Postprocedural seroma of ear and mastoid process following a procedure on the ear and mastoid processCMS: Postprocedural seroma of ear/mastd fol proc on ear/mastd | Can lead a claim | A | None |
| H95.54 | Postprocedural seroma of ear and mastoid process following other procedureCMS: Postprocedural seroma of ear/mastd following other procedure | Can lead a claim | A | None |
| H95.8 Other intraoperative and postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified | ||||
| H95.81 Postprocedural stenosis of external ear canal | ||||
| H95.811 | Postprocedural stenosis of right external ear canal | Can lead a claim | A | None |
| H95.812 | Postprocedural stenosis of left external ear canal | Can lead a claim | A | None |
| H95.813 | Postprocedural stenosis of external ear canal, bilateral | Can lead a claim | A | None |
| H95.819 | Postprocedural stenosis of unspecified external ear canal | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| H95.88 | Other intraoperative complications and disorders of the ear and mastoid process, not elsewhere classifiedCMS: Oth intraop comp and disorders of the ear/mastd, NEC | Can lead a claim | A | None |
| H95.89 | Other postprocedural complications and disorders of the ear and mastoid process, not elsewhere classifiedCMS: Oth postproc comp and disorders of the ear/mastd, NEC | 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.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue