Is H75.81 a billable ICD-10-CM code?

Yes. H75.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H75.81 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).

H75.81

H75.81 — Other specified disorders of right middle ear and mastoid in diseases classified elsewhere

Billable / specific codeICD-10-CMright

H75.81 is a billable, specific ICD-10-CM code for other specified disorders of right middle ear and mastoid in diseases classified elsewhere. It is valid for submission on a claim.

Risk adjustment

H75.81 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

H75.81 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Related codes at this level

Codes that share H75.8. If H75.81 is not quite right, the correct code is usually one of these.

Questions about H75.81

Is H75.81 a billable ICD-10-CM code?: Yes. H75.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H75.81 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).