H95.42 — Postprocedural hemorrhage of ear and mastoid process following other procedure
H95.42 is a billable, specific ICD-10-CM code for postprocedural hemorrhage of ear and mastoid process following other procedure. It is valid for submission on a claim.
Risk adjustment
H95.42 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
H95.42 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56612Billing and Coding: CT of the Head
- A56697Billing and Coding: Non-Invasive Vascular Studies
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
How H95.42 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to H95.42.
- Complication›postprocedural›hemorrhage›ear›following other procedure
- Complication›postprocedural›hemorrhage›mastoid process›following other procedure
Related codes at this level
Codes that share H95.4. If H95.42 is not quite right, the correct code is usually one of these.
Questions about H95.42
- Is H95.42 a billable ICD-10-CM code?
- Yes. H95.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H95.42 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).