ICD-10 H72.819
Billable / SpecificMultiple perforations of tympanic membrane, unspecified ear
About ICD-10-CM H72.819
ICD-10-CM code H72.819 represents Multiple perforations of tympanic membrane, unspecified ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H72). The 2026 edition of ICD-10-CM H72.819 became effective on October 1, 2025.
Medicare LCD Coverage for H72.819
Local Coverage Determinations (LCDs) from CMS MACs that list H72.819 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 H72.819.
1 Cigna
CPT Codes Commonly Billed with H72.819
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 H72.819 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 |
|---|---|---|
| H72.819 | 38424 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H72.819
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H72.819, Billing FAQ
Is ICD-10 code H72.819 billable? +
Yes, H72.819 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H72.819 map to? +
Per CMS GEMs, H72.819 maps to ICD-9 codes: 38424. 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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