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

ICD-10 H75.80

Billable / Specific

Other specified disorders of middle ear and mastoid in diseases classified elsewhere, unspecified ear

H75
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM H75.80

ICD-10-CM code H75.80 represents Other specified disorders of middle ear and mastoid in diseases classified elsewhere, unspecified ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H75). The 2026 edition of ICD-10-CM H75.80 became effective on October 1, 2025.

Medicare LCD Coverage for H75.80

Local Coverage Determinations (LCDs) from CMS MACs that list H75.80 as a covered diagnosis.

No Medicare LCDs reference H75.80 as covered

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 H75.80.

No commercial payer policies reference H75.80 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H75.80 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with H75.80

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

No procedure linkages on file for H75.80

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 H75.80 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H75.80 38389 10000

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

Codes Adjacent To H75.80

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

ICD-10 H75.80, Billing FAQ

Is ICD-10 code H75.80 billable? +

Yes, H75.80 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H75.80 map to? +

Per CMS GEMs, H75.80 maps to ICD-9 codes: 38389. 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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