ICD-10 · PDGM grouping
H65-H75 — Diseases of middle ear and mastoid
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
288
No clinical group
84
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
204 of the 288 codes in H65-H75 group to MMTA - Other. A further 84 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in H65-H75
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- H65Nonsuppurative otitis media44 codes
- H66Suppurative and unspecified otitis media36 codes
- H67Otitis media in diseases classified elsewhere4 codes
- H68Eustachian salpingitis and obstruction28 codes
- H69Other and unspecified disorders of Eustachian tube12 codes
- H70Mastoiditis and related conditions40 codes
- H71Cholesteatoma of middle ear20 codes
- H72Perforation of tympanic membrane24 codes
- H73Other disorders of tympanic membrane36 codes
- H74Other disorders of middle ear mastoid36 codes
- H75Other disorders of middle ear and mastoid in diseases classified elsewhere8 codes
Every code in H65-H75
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| H6500 | Acute serous otitis media, unspecified ear | None | Cannot lead a claim |
| H6501 | Acute serous otitis media, right ear | A | Can lead a claim |
| H6502 | Acute serous otitis media, left ear | A | Can lead a claim |
| H6503 | Acute serous otitis media, bilateral | A | Can lead a claim |
| H6504 | Acute serous otitis media, recurrent, right ear | A | Can lead a claim |
| H6505 | Acute serous otitis media, recurrent, left ear | A | Can lead a claim |
| H6506 | Acute serous otitis media, recurrent, bilateral | A | Can lead a claim |
| H6507 | Acute serous otitis media, recurrent, unspecified ear | None | Cannot lead a claim |
| H65111 | Acute and subacute allergic otitis media (serous), r ear | A | Can lead a claim |
| H65112 | Acute and subacute allergic otitis media (serous), left ear | A | Can lead a claim |
| H65113 | Acute and subacute allergic otitis media (serous), bi | A | Can lead a claim |
| H65114 | Acute and subacute allergic otitis media, recur, r ear | A | Can lead a claim |
| H65115 | Acute and subacute allergic otitis media, recur, left ear | A | Can lead a claim |
| H65116 | Acute and subacute allergic otitis media (serous), recur, bi | A | Can lead a claim |
| H65117 | Acute and subacute allergic otitis media, recur, unsp ear | None | Cannot lead a claim |
| H65119 | Acute and subacute allergic otitis media (serous), unsp ear | None | Cannot lead a claim |
| H65191 | Other acute nonsuppurative otitis media, right ear | A | Can lead a claim |
| H65192 | Other acute nonsuppurative otitis media, left ear | A | Can lead a claim |
| H65193 | Other acute nonsuppurative otitis media, bilateral | A | Can lead a claim |
| H65194 | Oth acute nonsuppurative otitis media, recurrent, right ear | A | Can lead a claim |
| H65195 | Other acute nonsuppurative otitis media, recurrent, left ear | A | Can lead a claim |
| H65196 | Oth acute nonsuppurative otitis media, recurrent, bilateral | A | Can lead a claim |
| H65197 | Other acute nonsuppurative otitis media recurrent, unsp ear | None | Cannot lead a claim |
| H65199 | Other acute nonsuppurative otitis media, unspecified ear | None | Cannot lead a claim |
| H6520 | Chronic serous otitis media, unspecified ear | None | Cannot lead a claim |
| H6521 | Chronic serous otitis media, right ear | A | Can lead a claim |
| H6522 | Chronic serous otitis media, left ear | A | Can lead a claim |
| H6523 | Chronic serous otitis media, bilateral | A | Can lead a claim |
| H6530 | Chronic mucoid otitis media, unspecified ear | None | Cannot lead a claim |
| H6531 | Chronic mucoid otitis media, right ear | A | Can lead a claim |
| H6532 | Chronic mucoid otitis media, left ear | A | Can lead a claim |
| H6533 | Chronic mucoid otitis media, bilateral | A | Can lead a claim |
| H65411 | Chronic allergic otitis media, right ear | A | Can lead a claim |
| H65412 | Chronic allergic otitis media, left ear | A | Can lead a claim |
| H65413 | Chronic allergic otitis media, bilateral | A | Can lead a claim |
| H65419 | Chronic allergic otitis media, unspecified ear | None | Cannot lead a claim |
| H65491 | Other chronic nonsuppurative otitis media, right ear | A | Can lead a claim |
| H65492 | Other chronic nonsuppurative otitis media, left ear | A | Can lead a claim |
| H65493 | Other chronic nonsuppurative otitis media, bilateral | A | Can lead a claim |
| H65499 | Other chronic nonsuppurative otitis media, unspecified ear | None | Cannot lead a claim |
| H6590 | Unspecified nonsuppurative otitis media, unspecified ear | None | Cannot lead a claim |
| H6591 | Unspecified nonsuppurative otitis media, right ear | A | Can lead a claim |
| H6592 | Unspecified nonsuppurative otitis media, left ear | A | Can lead a claim |
| H6593 | Unspecified nonsuppurative otitis media, bilateral | A | Can lead a claim |
| H66001 | Acute suppr otitis media w/o spon rupt ear drum, right ear | A | Can lead a claim |
| H66002 | Acute suppr otitis media w/o spon rupt ear drum, left ear | A | Can lead a claim |
| H66003 | Acute suppr otitis media w/o spon rupt ear drum, bilateral | A | Can lead a claim |
| H66004 | Ac suppr otitis media w/o spon rupt ear drum, recur, r ear | A | Can lead a claim |
| H66005 | Ac suppr otitis media w/o spon rupt ear drum, recur, l ear | A | Can lead a claim |
| H66006 | Acute suppr otitis media w/o spon rupt ear drum, recur, bi | A | Can lead a claim |
| H66007 | Ac suppr otitis media w/o spon rupt ear drum,recur, unsp ear | None | Cannot lead a claim |
| H66009 | Acute suppr otitis media w/o spon rupt ear drum, unsp ear | None | Cannot lead a claim |
| H66011 | Acute suppr otitis media w spon rupt ear drum, right ear | A | Can lead a claim |
| H66012 | Acute suppr otitis media w spon rupt ear drum, left ear | A | Can lead a claim |
| H66013 | Acute suppr otitis media w spon rupt ear drum, bilateral | A | Can lead a claim |
| H66014 | Acute suppr otitis media w spon rupt ear drum, recur, r ear | A | Can lead a claim |
| H66015 | Acute suppr otitis media w spon rupt ear drum, recur, l ear | A | Can lead a claim |
| H66016 | Acute suppr otitis media w spon rupt ear drum, recurrent, bi | A | Can lead a claim |
| H66017 | Ac suppr otitis media w spon rupt ear drum, recur, unsp ear | None | Cannot lead a claim |
| H66019 | Acute suppr otitis media w spon rupt ear drum, unsp ear | None | Cannot lead a claim |
| H6610 | Chronic tubotympanic suppurative otitis media, unspecified | None | Cannot lead a claim |
| H6611 | Chronic tubotympanic suppurative otitis media, right ear | A | Can lead a claim |
| H6612 | Chronic tubotympanic suppurative otitis media, left ear | A | Can lead a claim |
| H6613 | Chronic tubotympanic suppurative otitis media, bilateral | A | Can lead a claim |
| H6620 | Chronic atticoantral suppurative otitis media, unsp ear | None | Cannot lead a claim |
| H6621 | Chronic atticoantral suppurative otitis media, right ear | A | Can lead a claim |
| H6622 | Chronic atticoantral suppurative otitis media, left ear | A | Can lead a claim |
| H6623 | Chronic atticoantral suppurative otitis media, bilateral | A | Can lead a claim |
| H663X1 | Other chronic suppurative otitis media, right ear | A | Can lead a claim |
| H663X2 | Other chronic suppurative otitis media, left ear | A | Can lead a claim |
| H663X3 | Other chronic suppurative otitis media, bilateral | A | Can lead a claim |
| H663X9 | Other chronic suppurative otitis media, unspecified ear | None | Cannot lead a claim |
| H6640 | Suppurative otitis media, unspecified, unspecified ear | None | Cannot lead a claim |
| H6641 | Suppurative otitis media, unspecified, right ear | A | Can lead a claim |
| H6642 | Suppurative otitis media, unspecified, left ear | A | Can lead a claim |
| H6643 | Suppurative otitis media, unspecified, bilateral | A | Can lead a claim |
| H6690 | Otitis media, unspecified, unspecified ear | None | Cannot lead a claim |
| H6691 | Otitis media, unspecified, right ear | A | Can lead a claim |
| H6692 | Otitis media, unspecified, left ear | A | Can lead a claim |
| H6693 | Otitis media, unspecified, bilateral | A | Can lead a claim |
| H671 | Otitis media in diseases classified elsewhere, right ear | None | Cannot lead a claim |
| H672 | Otitis media in diseases classified elsewhere, left ear | None | Cannot lead a claim |
| H673 | Otitis media in diseases classified elsewhere, bilateral | None | Cannot lead a claim |
| H679 | Otitis media in diseases classified elsewhere, unsp ear | None | Cannot lead a claim |
| H68001 | Unspecified Eustachian salpingitis, right ear | A | Can lead a claim |
| H68002 | Unspecified Eustachian salpingitis, left ear | A | Can lead a claim |
| H68003 | Unspecified Eustachian salpingitis, bilateral | A | Can lead a claim |
| H68009 | Unspecified Eustachian salpingitis, unspecified ear | None | Cannot lead a claim |
| H68011 | Acute Eustachian salpingitis, right ear | A | Can lead a claim |
| H68012 | Acute Eustachian salpingitis, left ear | A | Can lead a claim |
| H68013 | Acute Eustachian salpingitis, bilateral | A | Can lead a claim |
| H68019 | Acute Eustachian salpingitis, unspecified ear | None | Cannot lead a claim |
| H68021 | Chronic Eustachian salpingitis, right ear | A | Can lead a claim |
| H68022 | Chronic Eustachian salpingitis, left ear | A | Can lead a claim |
| H68023 | Chronic Eustachian salpingitis, bilateral | A | Can lead a claim |
| H68029 | Chronic Eustachian salpingitis, unspecified ear | None | Cannot lead a claim |
| H68101 | Unspecified obstruction of Eustachian tube, right ear | A | Can lead a claim |
| H68102 | Unspecified obstruction of Eustachian tube, left ear | A | Can lead a claim |
| H68103 | Unspecified obstruction of Eustachian tube, bilateral | A | Can lead a claim |
| H68109 | Unspecified obstruction of Eustachian tube, unspecified ear | None | Cannot lead a claim |
| H68111 | Osseous obstruction of Eustachian tube, right ear | A | Can lead a claim |
| H68112 | Osseous obstruction of Eustachian tube, left ear | A | Can lead a claim |
| H68113 | Osseous obstruction of Eustachian tube, bilateral | A | Can lead a claim |
| H68119 | Osseous obstruction of Eustachian tube, unspecified ear | None | Cannot lead a claim |
| H68121 | Intrinsic cartilagenous obst of eustach tube, right ear | A | Can lead a claim |
| H68122 | Intrinsic cartilagenous obst of eustach tube, left ear | A | Can lead a claim |
| H68123 | Intrinsic cartilagenous obst of eustach tube, bilateral | A | Can lead a claim |
| H68129 | Intrinsic cartilagenous obst of eustach tube, unsp ear | None | Cannot lead a claim |
| H68131 | Extrinsic cartilagenous obst of eustach tube, right ear | A | Can lead a claim |
| H68132 | Extrinsic cartilagenous obst of eustach tube, left ear | A | Can lead a claim |
| H68133 | Extrinsic cartilagenous obst of eustach tube, bilateral | A | Can lead a claim |
| H68139 | Extrinsic cartilagenous obst of eustach tube, unsp ear | None | Cannot lead a claim |
| H6900 | Patulous Eustachian tube, unspecified ear | None | Cannot lead a claim |
| H6901 | Patulous Eustachian tube, right ear | A | Can lead a claim |
| H6902 | Patulous Eustachian tube, left ear | A | Can lead a claim |
| H6903 | Patulous Eustachian tube, bilateral | A | Can lead a claim |
| H6980 | Oth disrd of Eustachian tube, unspecified ear | None | Cannot lead a claim |
| H6981 | Other specified disorders of Eustachian tube, right ear | A | Can lead a claim |
| H6982 | Other specified disorders of Eustachian tube, left ear | A | Can lead a claim |
| H6983 | Other specified disorders of Eustachian tube, bilateral | A | Can lead a claim |
| H6990 | Unspecified Eustachian tube disorder, unspecified ear | None | Cannot lead a claim |
| H6991 | Unspecified Eustachian tube disorder, right ear | A | Can lead a claim |
| H6992 | Unspecified Eustachian tube disorder, left ear | A | Can lead a claim |
| H6993 | Unspecified Eustachian tube disorder, bilateral | A | Can lead a claim |
| H70001 | Acute mastoiditis without complications, right ear | A | Can lead a claim |
| H70002 | Acute mastoiditis without complications, left ear | A | Can lead a claim |
| H70003 | Acute mastoiditis without complications, bilateral | A | Can lead a claim |
| H70009 | Acute mastoiditis without complications, unspecified ear | None | Cannot lead a claim |
| H70011 | Subperiosteal abscess of mastoid, right ear | A | Can lead a claim |
| H70012 | Subperiosteal abscess of mastoid, left ear | A | Can lead a claim |
| H70013 | Subperiosteal abscess of mastoid, bilateral | A | Can lead a claim |
| H70019 | Subperiosteal abscess of mastoid, unspecified ear | None | Cannot lead a claim |
| H70091 | Acute mastoiditis with other complications, right ear | A | Can lead a claim |
| H70092 | Acute mastoiditis with other complications, left ear | A | Can lead a claim |
| H70093 | Acute mastoiditis with other complications, bilateral | A | Can lead a claim |
| H70099 | Acute mastoiditis with other complications, unspecified ear | None | Cannot lead a claim |
| H7010 | Chronic mastoiditis, unspecified ear | None | Cannot lead a claim |
| H7011 | Chronic mastoiditis, right ear | A | Can lead a claim |
| H7012 | Chronic mastoiditis, left ear | A | Can lead a claim |
| H7013 | Chronic mastoiditis, bilateral | A | Can lead a claim |
| H70201 | Unspecified petrositis, right ear | A | Can lead a claim |
| H70202 | Unspecified petrositis, left ear | A | Can lead a claim |
| H70203 | Unspecified petrositis, bilateral | A | Can lead a claim |
| H70209 | Unspecified petrositis, unspecified ear | None | Cannot lead a claim |
| H70211 | Acute petrositis, right ear | A | Can lead a claim |
| H70212 | Acute petrositis, left ear | A | Can lead a claim |
| H70213 | Acute petrositis, bilateral | A | Can lead a claim |
| H70219 | Acute petrositis, unspecified ear | None | Cannot lead a claim |
| H70221 | Chronic petrositis, right ear | A | Can lead a claim |
| H70222 | Chronic petrositis, left ear | A | Can lead a claim |
| H70223 | Chronic petrositis, bilateral | A | Can lead a claim |
| H70229 | Chronic petrositis, unspecified ear | None | Cannot lead a claim |
| H70811 | Postauricular fistula, right ear | A | Can lead a claim |
| H70812 | Postauricular fistula, left ear | A | Can lead a claim |
| H70813 | Postauricular fistula, bilateral | A | Can lead a claim |
| H70819 | Postauricular fistula, unspecified ear | None | Cannot lead a claim |
| H70891 | Other mastoiditis and related conditions, right ear | A | Can lead a claim |
| H70892 | Other mastoiditis and related conditions, left ear | A | Can lead a claim |
| H70893 | Other mastoiditis and related conditions, bilateral | A | Can lead a claim |
| H70899 | Other mastoiditis and related conditions, unspecified ear | None | Cannot lead a claim |
| H7090 | Unspecified mastoiditis, unspecified ear | None | Cannot lead a claim |
| H7091 | Unspecified mastoiditis, right ear | A | Can lead a claim |
| H7092 | Unspecified mastoiditis, left ear | A | Can lead a claim |
| H7093 | Unspecified mastoiditis, bilateral | A | Can lead a claim |
| H7100 | Cholesteatoma of attic, unspecified ear | None | Cannot lead a claim |
| H7101 | Cholesteatoma of attic, right ear | A | Can lead a claim |
| H7102 | Cholesteatoma of attic, left ear | A | Can lead a claim |
| H7103 | Cholesteatoma of attic, bilateral | A | Can lead a claim |
| H7110 | Cholesteatoma of tympanum, unspecified ear | None | Cannot lead a claim |
| H7111 | Cholesteatoma of tympanum, right ear | A | Can lead a claim |
| H7112 | Cholesteatoma of tympanum, left ear | A | Can lead a claim |
| H7113 | Cholesteatoma of tympanum, bilateral | A | Can lead a claim |
| H7120 | Cholesteatoma of mastoid, unspecified ear | None | Cannot lead a claim |
| H7121 | Cholesteatoma of mastoid, right ear | A | Can lead a claim |
| H7122 | Cholesteatoma of mastoid, left ear | A | Can lead a claim |
| H7123 | Cholesteatoma of mastoid, bilateral | A | Can lead a claim |
| H7130 | Diffuse cholesteatosis, unspecified ear | None | Cannot lead a claim |
| H7131 | Diffuse cholesteatosis, right ear | A | Can lead a claim |
| H7132 | Diffuse cholesteatosis, left ear | A | Can lead a claim |
| H7133 | Diffuse cholesteatosis, bilateral | A | Can lead a claim |
| H7190 | Unspecified cholesteatoma, unspecified ear | None | Cannot lead a claim |
| H7191 | Unspecified cholesteatoma, right ear | A | Can lead a claim |
| H7192 | Unspecified cholesteatoma, left ear | A | Can lead a claim |
| H7193 | Unspecified cholesteatoma, bilateral | A | Can lead a claim |
| H7200 | Central perforation of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7201 | Central perforation of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H7202 | Central perforation of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H7203 | Central perforation of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H7210 | Attic perforation of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7211 | Attic perforation of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H7212 | Attic perforation of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H7213 | Attic perforation of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H722X1 | Other marginal perforations of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H722X2 | Other marginal perforations of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H722X3 | Other marginal perforations of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H722X9 | Other marginal perforations of tympanic membrane, unsp ear | None | Cannot lead a claim |
| H72811 | Multiple perforations of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H72812 | Multiple perforations of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H72813 | Multiple perforations of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H72819 | Multiple perforations of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H72821 | Total perforations of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H72822 | Total perforations of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H72823 | Total perforations of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H72829 | Total perforations of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7290 | Unsp perforation of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7291 | Unspecified perforation of tympanic membrane, right ear | A | Can lead a claim, code first applies |
| H7292 | Unspecified perforation of tympanic membrane, left ear | A | Can lead a claim, code first applies |
| H7293 | Unspecified perforation of tympanic membrane, bilateral | A | Can lead a claim, code first applies |
| H73001 | Acute myringitis, right ear | A | Can lead a claim |
| H73002 | Acute myringitis, left ear | A | Can lead a claim |
| H73003 | Acute myringitis, bilateral | A | Can lead a claim |
| H73009 | Acute myringitis, unspecified ear | None | Cannot lead a claim |
| H73011 | Bullous myringitis, right ear | A | Can lead a claim |
| H73012 | Bullous myringitis, left ear | A | Can lead a claim |
| H73013 | Bullous myringitis, bilateral | A | Can lead a claim |
| H73019 | Bullous myringitis, unspecified ear | None | Cannot lead a claim |
| H73091 | Other acute myringitis, right ear | A | Can lead a claim |
| H73092 | Other acute myringitis, left ear | A | Can lead a claim |
| H73093 | Other acute myringitis, bilateral | A | Can lead a claim |
| H73099 | Other acute myringitis, unspecified ear | None | Cannot lead a claim |
| H7310 | Chronic myringitis, unspecified ear | None | Cannot lead a claim |
| H7311 | Chronic myringitis, right ear | A | Can lead a claim |
| H7312 | Chronic myringitis, left ear | A | Can lead a claim |
| H7313 | Chronic myringitis, bilateral | A | Can lead a claim |
| H7320 | Unspecified myringitis, unspecified ear | None | Cannot lead a claim |
| H7321 | Unspecified myringitis, right ear | A | Can lead a claim |
| H7322 | Unspecified myringitis, left ear | A | Can lead a claim |
| H7323 | Unspecified myringitis, bilateral | A | Can lead a claim |
| H73811 | Atrophic flaccid tympanic membrane, right ear | A | Can lead a claim |
| H73812 | Atrophic flaccid tympanic membrane, left ear | A | Can lead a claim |
| H73813 | Atrophic flaccid tympanic membrane, bilateral | A | Can lead a claim |
| H73819 | Atrophic flaccid tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H73821 | Atrophic nonflaccid tympanic membrane, right ear | A | Can lead a claim |
| H73822 | Atrophic nonflaccid tympanic membrane, left ear | A | Can lead a claim |
| H73823 | Atrophic nonflaccid tympanic membrane, bilateral | A | Can lead a claim |
| H73829 | Atrophic nonflaccid tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H73891 | Other specified disorders of tympanic membrane, right ear | A | Can lead a claim |
| H73892 | Other specified disorders of tympanic membrane, left ear | A | Can lead a claim |
| H73893 | Other specified disorders of tympanic membrane, bilateral | A | Can lead a claim |
| H73899 | Oth disrd of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7390 | Unspecified disorder of tympanic membrane, unspecified ear | None | Cannot lead a claim |
| H7391 | Unspecified disorder of tympanic membrane, right ear | A | Can lead a claim |
| H7392 | Unspecified disorder of tympanic membrane, left ear | A | Can lead a claim |
| H7393 | Unspecified disorder of tympanic membrane, bilateral | A | Can lead a claim |
| H7401 | Tympanosclerosis, right ear | A | Can lead a claim |
| H7402 | Tympanosclerosis, left ear | A | Can lead a claim |
| H7403 | Tympanosclerosis, bilateral | A | Can lead a claim |
| H7409 | Tympanosclerosis, unspecified ear | None | Cannot lead a claim |
| H7411 | Adhesive right middle ear disease | A | Can lead a claim |
| H7412 | Adhesive left middle ear disease | A | Can lead a claim |
| H7413 | Adhesive middle ear disease, bilateral | A | Can lead a claim |
| H7419 | Adhesive middle ear disease, unspecified ear | None | Cannot lead a claim |
| H7420 | Discontinuity and dislocation of ear ossicles, unsp ear | None | Cannot lead a claim |
| H7421 | Discontinuity and dislocation of right ear ossicles | A | Can lead a claim |
| H7422 | Discontinuity and dislocation of left ear ossicles | A | Can lead a claim |
| H7423 | Discontinuity and dislocation of ear ossicles, bilateral | A | Can lead a claim |
| H74311 | Ankylosis of ear ossicles, right ear | A | Can lead a claim |
| H74312 | Ankylosis of ear ossicles, left ear | A | Can lead a claim |
| H74313 | Ankylosis of ear ossicles, bilateral | A | Can lead a claim |
| H74319 | Ankylosis of ear ossicles, unspecified ear | None | Cannot lead a claim |
| H74321 | Partial loss of ear ossicles, right ear | A | Can lead a claim |
| H74322 | Partial loss of ear ossicles, left ear | A | Can lead a claim |
| H74323 | Partial loss of ear ossicles, bilateral | A | Can lead a claim |
| H74329 | Partial loss of ear ossicles, unspecified ear | None | Cannot lead a claim |
| H74391 | Other acquired abnormalities of right ear ossicles | A | Can lead a claim |
| H74392 | Other acquired abnormalities of left ear ossicles | A | Can lead a claim |
| H74393 | Other acquired abnormalities of ear ossicles, bilateral | A | Can lead a claim |
| H74399 | Other acquired abnormalities of ear ossicles, unsp ear | None | Cannot lead a claim |
| H7440 | Polyp of middle ear, unspecified ear | None | Cannot lead a claim |
| H7441 | Polyp of right middle ear | A | Can lead a claim |
| H7442 | Polyp of left middle ear | A | Can lead a claim |
| H7443 | Polyp of middle ear, bilateral | A | Can lead a claim |
| H748X1 | Other specified disorders of right middle ear and mastoid | A | Can lead a claim |
| H748X2 | Other specified disorders of left middle ear and mastoid | A | Can lead a claim |
| H748X3 | Oth disrd of middle ear and mastoid, bilateral | A | Can lead a claim |
| H748X9 | Oth disrd of middle ear and mastoid, unspecified ear | None | Cannot lead a claim |
| H7490 | Unsp disorder of middle ear and mastoid, unspecified ear | None | Cannot lead a claim |
| H7491 | Unspecified disorder of right middle ear and mastoid | None | Cannot lead a claim |
| H7492 | Unspecified disorder of left middle ear and mastoid | None | Cannot lead a claim |
| H7493 | Unspecified disorder of middle ear and mastoid, bilateral | None | Cannot lead a claim |
| H7500 | Mastoiditis in infec/parastc dis classd elswhr, unsp ear | None | Cannot lead a claim |
| H7501 | Mastoiditis in infec/parastc diseases classd elswhr, r ear | None | Cannot lead a claim |
| H7502 | Mastoiditis in infec/parastc dis classd elswhr, left ear | None | Cannot lead a claim |
| H7503 | Mastoiditis in infec/parastc diseases classd elswhr, bi | None | Cannot lead a claim |
| H7580 | Oth disrd of mid ear and mast in dis classd elswhr, unsp ear | None | Cannot lead a claim |
| H7581 | Oth disrd of r mid ear and mastoid in diseases classd elswhr | None | Cannot lead a claim |
| H7582 | Oth disrd of l mid ear and mastoid in diseases classd elswhr | None | Cannot lead a claim |
| H7583 | Oth disrd of mid ear and mastoid in dis classd elswhr, bi | None | Cannot lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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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