ICD-10 H72.823
Billable / SpecificTotal perforations of tympanic membrane, bilateral
About ICD-10-CM H72.823
ICD-10-CM code H72.823 represents Total perforations of tympanic membrane, bilateral. This is a billable/specific code in the Ear and Mastoid Process chapter (block H72). The 2026 edition of ICD-10-CM H72.823 became effective on October 1, 2025.
Medicare LCD Coverage for H72.823
Local Coverage Determinations (LCDs) from CMS MACs that list H72.823 as a covered diagnosis.
Showing top 10 of 65 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H72.823.
1 Cigna
2 Medicare
CPT Codes Commonly Billed with H72.823
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 H72.823 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 |
|---|---|---|
| H72.823 | 38425 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H72.823
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H72.823, Billing FAQ
Is ICD-10 code H72.823 billable? +
Yes, H72.823 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H72.823 map to? +
Per CMS GEMs, H72.823 maps to ICD-9 codes: 38425. 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 July 16, 2026.
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