H74.41
H74.41 — Polyp of right middle ear
Billable / specific codeICD-10-CMright
H74.41 is a billable, specific ICD-10-CM code for polyp of right middle ear. It is valid for submission on a claim.
Risk adjustment
H74.41 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
H74.41 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56722Billing and Coding: Intraoperative Neurophysiological Testing
- A57041Billing and Coding: Somatosensory Testing
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57597Billing and Coding: Somatosensory Testing
Related codes at this level
Codes that share H74.4. If H74.41 is not quite right, the correct code is usually one of these.
Questions about H74.41
- Is H74.41 a billable ICD-10-CM code?
- Yes. H74.41 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H74.41 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).