ICD-10 H72.01
Billable / SpecificCentral perforation of tympanic membrane, right ear
About ICD-10-CM H72.01
ICD-10-CM code H72.01 represents Central perforation of tympanic membrane, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H72). The 2026 edition of ICD-10-CM H72.01 became effective on October 1, 2025.
Medicare LCD Coverage for H72.01
Local Coverage Determinations (LCDs) from CMS MACs that list H72.01 as a covered diagnosis.
Showing top 10 of 181 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H72.01.
1 Cigna
3 Medicare
CPT Codes Commonly Billed with H72.01
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.
Convert H72.01 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H72.01 | 38421 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H72.01
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H72.01, Billing FAQ
Is ICD-10 code H72.01 billable? +
Yes, H72.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H72.01 map to? +
Per CMS GEMs, H72.01 maps to ICD-9 codes: 38421. 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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