H74.11
H74.11: Adhesive right middle ear disease
Billable / specific codeICD-10-CMright
H74.11 is a billable, specific ICD-10-CM code for adhesive right middle ear disease. It is valid for submission on a claim.
Check H74.11 with the rest of the claim: free scrubberExcludes1 inherited from the categories above H74.11
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above H74.11
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H74.11 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.