H68.011
H68.011 — Acute Eustachian salpingitis, right ear
Billable / specific codeICD-10-CMright
H68.011 is a billable, specific ICD-10-CM code for acute eustachian salpingitis, right ear. It is valid for submission on a claim.
Risk adjustment
H68.011 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
H68.011 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57434Billing and Coding: Vestibular and Audiologic Function Studies
- A57434Billing and Coding: Vestibular and Audiologic Function Studies
- A57473Billing and Coding: Allergy Testing
Related codes at this level
Codes that share H68.01. If H68.011 is not quite right, the correct code is usually one of these.
Questions about H68.011
- Is H68.011 a billable ICD-10-CM code?
- Yes. H68.011 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H68.011 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).