Is H95.5 a billable ICD-10-CM code?

No. H95.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H95.5 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).

H95.5

H95.5 — Postprocedural hematoma and seroma of ear and mastoid process following a procedure

Non-billable headerICD-10-CM

H95.5 is a non-billable header ICD-10-CM code for postprocedural hematoma and seroma of ear and mastoid process following a procedure. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H95.5 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.

Code to one of these instead H95.5

4 child codes. Green means billable.

Related codes at this level

Codes that share H95. If H95.5 is not quite right, the correct code is usually one of these.

Questions about H95.5

Is H95.5 a billable ICD-10-CM code?: No. H95.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H95.5 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).