Is H95.111 a billable ICD-10-CM code?

Yes. H95.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H95.111 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Intraoperative and postprocedural complications and disorders of ear and mastoid process, not elsewhere classified (H95).

H95.111

H95.111 — Chronic inflammation of postmastoidectomy cavity, right ear

Billable / specific codeICD-10-CMright

H95.111 is a billable, specific ICD-10-CM code for chronic inflammation of postmastoidectomy cavity, right ear. It is valid for submission on a claim.

Risk adjustment

H95.111 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

H95.111 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 H95.11. If H95.111 is not quite right, the correct code is usually one of these.

Questions about H95.111

Is H95.111 a billable ICD-10-CM code?: Yes. H95.111 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H95.111 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Intraoperative and postprocedural complications and disorders of ear and mastoid process, not elsewhere classified (H95).