ICDcodes.org
FY2027

H72.2X1Other marginal perforations of tympanic membrane, right ear

Billable

Is H72.2X1 billable?

Yes — H72.2X1 is billable for FY2027. H72.2X1 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H72.2X1 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H72.2X1 at a glance

CodeH72.2X1
DescriptionOther marginal perforations of tympanic membrane, right ear
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does H72.2X1 group to?

H72.2X1 sits in MDC 03 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 154Other Ear, Nose, Mouth and Throat Diagnoses with MCCmedical
  • 155Other Ear, Nose, Mouth and Throat Diagnoses with CCmedical
  • 156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCCmedical

Excludes1 — never code together — inherited from H72

The conditions below can never be reported together with H72.2X1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)
  • traumatic rupture of ear drum (S09.2-)

Code first — inherited from H72

The underlying condition below must be sequenced before H72.2X1. H72.2X1 describes a manifestation and cannot be the principal or first-listed diagnosis.

Excludes2 — not included here — inherited from Chapter 8

The conditions below are not part of H72.2X1, but a patient may have both at the same time. When documentation supports it, H72.2X1 and the excluded code may both be reported.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

How long has H72.2X1 existed?

H72.2X1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the H72.2X family? (3)