Non-Billable / Non-Specific Code
ICD-10-CM H72 is the diagnosis code for Perforation of tympanic membrane. This code falls under the section "Diseases of middle ear and mastoid" within Chapter 8 — Diseases of the ear and mastoid process (H60-H95). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as H72. They are mutually exclusive:
Understanding where H72 sits in the ICD-10-CM classification helps ensure proper coding:
No, H72 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
H72 is the ICD-10-CM diagnosis code for "Perforation of tympanic membrane". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
H72 is located in Section H65-H75 — "Diseases of middle ear and mastoid" within Chapter 8 of the ICD-10-CM Tabular List.
H72 has 5 sub-code(s) that provide more specific detail: H72.0, H72.1, H72.2, H72.8, H72.9.
Use H72 when the patients documented diagnosis matches "Perforation of tympanic membrane" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Perforation of tympanic membrane is H72.
No, H72 is non-billable. Use a more specific sub-code for primary diagnosis billing.
H72 is in Chapter 8 of the ICD-10-CM Tabular List.
Type 1 Excludes for H72 include: acute suppurative otitis media with rupture of the tympanic membrane (H66.01-); traumatic rupture of ear drum (S09.2-).
Yes, H72 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.