Q16.2
Q16.2: Absence of eustachian tube
Billable / specific codeICD-10-CMPOA exempt
Q16.2 is a billable, specific ICD-10-CM code for absence of eustachian tube. It is valid for submission on a claim.
Check Q16.2 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Q16.2 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Alphabetic index entries that lead here
- Absence›eustachian tube(congenital)
- Agenesis›eustachian tube
- Malformation›ear›middle›absence of eustachian tube
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Q16
- Q16.0Congenital absence of (ear) auricle
- Q16.1Congenital absence, atresia and stricture of auditory canal (external)
- Q16.3Congenital malformation of ear ossicles
- Q16.4Other congenital malformations of middle ear
- Q16.5Congenital malformation of inner ear
- Q16.9Congenital malformation of ear causing impairment of hearing, unspecified