S09.21XS

S09.21XS: Traumatic rupture of right ear drum, sequela

Billable / specific codeICD-10-CMPOA exemptright

S09.21XS is a billable, specific ICD-10-CM code for traumatic rupture of right ear drum, sequela. It is valid for submission on a claim.

Check S09.21XS with the rest of the claim: free scrubber

7th character "S": sequela

The appropriate 7th character is to be added to each code from category S09

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above S09.21XS

A category’s note binds every code beneath it.

Written on S09.2: Traumatic rupture of ear drum

traumatic rupture of ear drum due to blast injury (S09.31-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S09.21XS is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53057Billing and Coding: Home Health Occupational Therapy
A53058Billing and Coding: Home Health Physical Therapy
A53064Billing and Coding: Outpatient Occupational Therapy
A56459Billing and Coding: Debridement Services

Code history

Unchanged in every release from FY2024 to FY2027.