Is H74.1 a billable ICD-10-CM code?

No. H74.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H74.1 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 H74.1?

H74.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H74.1

H74.1 — Adhesive middle ear disease

Non-billable headerICD-10-CM

H74.1 is a non-billable header ICD-10-CM code for adhesive middle ear disease. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

glue ear (H65.3-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Adhesive otitis

Other codes that can never be billed with H74.1

These codes carry an Excludes1 note pointing at H74.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H74.1 alone.

H65.3Chronic mucoid otitis media

Risk adjustment

H74.1 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 to one of these instead H74.1

4 child codes. Green means billable.

Related codes at this level

Codes that share H74. If H74.1 is not quite right, the correct code is usually one of these.

Questions about H74.1

Is H74.1 a billable ICD-10-CM code?: No. H74.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H74.1 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 H74.1?: H74.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.