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

ICD-10 H71.31

Billable / Specific

Diffuse cholesteatosis, right ear

H71
Block
0
Synonyms
78
LCDs
7
Payer Policies
0
Linked CPTs

About ICD-10-CM H71.31

ICD-10-CM code H71.31 represents Diffuse cholesteatosis, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H71). The 2026 edition of ICD-10-CM H71.31 became effective on October 1, 2025.

Medicare LCD Coverage for H71.31

Local Coverage Determinations (LCDs) from CMS MACs that list H71.31 as a covered diagnosis.

78 LCDs

Showing top 10 of 78 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95926 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95925 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95927 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57041, Effective: 2026-03-26 00:00:00, 556 covered, 0 non-covered
CPT 95938 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92620 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92562 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92545 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92584 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92544 →
CMS LCD: Billing and Coding: Vestibular and Audiologic Function Studies
Article ID: 57434, Effective: 2025-10-01 00:00:00, 373 covered, 0 non-covered
CPT 92579 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H71.31.

7 policies

1 Cigna

Electrodiagnostic Testing (EMG/NCV) - (CPG129)
Policy ID: CPG129_EMG_NCV_SSEP

5 Medicare

Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-56722
Billing and Coding: Somatosensory Testing
Policy ID: ART-57041
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: Somatosensory Testing
Policy ID: ART-57597

CPT Codes Commonly Billed with H71.31

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

No procedure linkages on file for H71.31

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 H71.31 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H71.31 38535 10000

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

Codes Adjacent To H71.31

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

ICD-10 H71.31, Billing FAQ

Is ICD-10 code H71.31 billable? +

Yes, H71.31 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H71.31 map to? +

Per CMS GEMs, H71.31 maps to ICD-9 codes: 38535. 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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