ICD-10 H95.11
Non-Billable HeaderChronic inflammation of postmastoidectomy cavity
About ICD-10-CM H95.11
ICD-10-CM code H95.11 represents Chronic inflammation of postmastoidectomy cavity. This is a non-billable header code in the Ear and Mastoid Process chapter (block H95). The 2026 edition of ICD-10-CM H95.11 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for H95.11
Local Coverage Determinations (LCDs) from CMS MACs that list H95.11 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 H95.11.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H95.11 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H95.11
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.
Codes Adjacent To H95.11
Other codes in section H95 (Intraoperative and postprocedural complications and disorders of ear and mastoid process, not elsewhere classified).
ICD-10 H95.11, Billing FAQ
Is ICD-10 code H95.11 billable? +
No, H95.11 is a non-billable header code. Use a more specific child code from block H95 when submitting claims.
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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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