ICD-10 H68.11
Non-Billable HeaderOsseous obstruction of Eustachian tube
About ICD-10-CM H68.11
ICD-10-CM code H68.11 represents Osseous obstruction of Eustachian tube. This is a non-billable header code in the Ear and Mastoid Process chapter (block H68). The 2026 edition of ICD-10-CM H68.11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for H68.11
Local Coverage Determinations (LCDs) from CMS MACs that list H68.11 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H68.11.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H68.11 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H68.11
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To H68.11
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H68.11, Billing FAQ
Is ICD-10 code H68.11 billable? +
No, H68.11 is a non-billable header code. Use a more specific child code from block H68 when submitting claims.
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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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