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H72.91

H72.91: Unspecified perforation of tympanic membrane, right ear

Billable / specific codeICD-10-CMright

H72.91 is a billable, specific ICD-10-CM code for unspecified perforation of tympanic membrane, right ear. It is valid for submission on a claim.

Check H72.91 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above H72.91

A category’s note binds every code beneath it.

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

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

H72.91 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57204Billing and Coding: MRI and CT Scans of the Head and Neck
  • A57434Billing and Coding: Vestibular and Audiologic Function Studies

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H72.9

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.