Is H66.012 a billable ICD-10-CM code?

Yes. H66.012 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H66.012 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Diseases of middle ear and mastoid (H65-H75).

H66.012

H66.012 — Acute suppurative otitis media with spontaneous rupture of ear drum, left ear

Billable / specific codeICD-10-CMleft

H66.012 is a billable, specific ICD-10-CM code for acute suppurative otitis media with spontaneous rupture of ear drum, left ear. It is valid for submission on a claim.

Risk adjustment

H66.012 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

H66.012 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57434Billing and Coding: Vestibular and Audiologic Function Studies
A57434Billing and Coding: Vestibular and Audiologic Function Studies

Related codes at this level

Codes that share H66.01. If H66.012 is not quite right, the correct code is usually one of these.

Questions about H66.012

Is H66.012 a billable ICD-10-CM code?: Yes. H66.012 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H66.012 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of middle ear and mastoid (H65-H75).