ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H68.021

Billable / Specific

Chronic Eustachian salpingitis, right ear

H68
Block
0
Synonyms
100
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM H68.021

ICD-10-CM code H68.021 represents Chronic Eustachian salpingitis, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H68). The 2026 edition of ICD-10-CM H68.021 became effective on October 1, 2025.

Medicare LCD Coverage for H68.021

Local Coverage Determinations (LCDs) from CMS MACs that list H68.021 as a covered diagnosis.

100 LCDs

Showing top 10 of 100 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 86003 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95018 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H68.021.

5 policies

1 Cigna

Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554)
Policy ID: MM_0554

4 Medicare

Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434
Billing and Coding: Allergy Testing
Policy ID: ART-57473

CPT Codes Commonly Billed with H68.021

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H68.021

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H68.021 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H68.021 38152 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To H68.021

Other codes in section H65-H75 (Diseases of middle ear and mastoid).

ICD-10 H68.021, Billing FAQ

Is ICD-10 code H68.021 billable? +

Yes, H68.021 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H68.021 map to? +

Per CMS GEMs, H68.021 maps to ICD-9 codes: 38152. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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