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

ICD-10 H74.41

Billable / Specific

Polyp of right middle ear

H74
Block
0
Synonyms
41
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM H74.41

ICD-10-CM code H74.41 represents Polyp of right middle ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H74). The 2026 edition of ICD-10-CM H74.41 became effective on October 1, 2025.

Medicare LCD Coverage for H74.41

Local Coverage Determinations (LCDs) from CMS MACs that list H74.41 as a covered diagnosis.

41 LCDs

Showing top 10 of 41 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: Intraoperative Neurophysiological Testing
Article ID: 56722, Effective: 2025-10-01 00:00:00, 824 covered, 0 non-covered
CPT 95940 →
CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing
Article ID: 56722, Effective: 2025-10-01 00:00:00, 824 covered, 0 non-covered
CPT G0453 →
CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing
Article ID: 57604, Effective: 2024-02-01 00:00:00, 615 covered, 0 non-covered
CPT 95940 →
CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing
Article ID: 57604, Effective: 2024-02-01 00:00:00, 615 covered, 0 non-covered
CPT G0453 →
CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing
Article ID: 57604, Effective: 2024-02-01 00:00:00, 615 covered, 0 non-covered
CPT 95941 →
CMS LCD: Billing and Coding: Somatosensory Testing
Article ID: 57597, Effective: 2025-10-01 00:00:00, 656 covered, 0 non-covered
CPT 95926 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H74.41.

5 policies

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: Somatosensory Testing
Policy ID: ART-57597
Billing and Coding: Intraoperative Neurophysiological Testing
Policy ID: ART-57604

CPT Codes Commonly Billed with H74.41

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

No procedure linkages on file for H74.41

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 H74.41 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H74.41 38532 10000

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

Codes Adjacent To H74.41

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

ICD-10 H74.41, Billing FAQ

Is ICD-10 code H74.41 billable? +

Yes, H74.41 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H74.41 map to? +

Per CMS GEMs, H74.41 maps to ICD-9 codes: 38532. 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 June 1, 2026.

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