Is H72.82 a billable ICD-10-CM code?

No. H72.82 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H72.82 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).

What cannot be coded together with H72.82?

H72.82 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H72.82 (H72) and apply to it just the same.

H72.82

H72.82 — Total perforations of tympanic membrane

Non-billable headerICD-10-CM

H72.82 is a non-billable header ICD-10-CM code for total perforations of tympanic membrane. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above H72.82

These are not written on H72.82, but they bind it: a note on a category applies to every code beneath it. Billing H72.82 with anything listed here is a denial.

Written on H72 — Perforation of tympanic membrane

acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)
traumatic rupture of ear drum (S09.2-)

Risk adjustment

H72.82 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.

Code history

H72.82 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H72.82

4 child codes. Green means billable.

Related codes at this level

Codes that share H72.8. If H72.82 is not quite right, the correct code is usually one of these.

H72.81Multiple perforations of tympanic membrane

Questions about H72.82

Is H72.82 a billable ICD-10-CM code?: No. H72.82 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H72.82 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).
What cannot be coded together with H72.82?: H72.82 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H72.82 (H72) and apply to it just the same.