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H74.43

H74.43: Polyp of middle ear, bilateral

Billable / specific codeICD-10-CMbilateral

H74.43 is a billable, specific ICD-10-CM code for polyp of middle ear, bilateral. It is valid for submission on a claim.

Check H74.43 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above H74.43

Not part of this code, but both may be coded when both are present.

Written on H74: Other disorders of middle ear mastoid

  • mastoiditis (H70.-)

Risk adjustment

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

Medicare coverage

H74.43 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • 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

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under H74.4

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.