2026 ICD-10-CM Diagnosis Code H70.812Postauricular fistula, left ear

ICD-10-CM CodesH60–H95H65-H75H70

ICD-10-CM H70.812
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H70.812 is a billable ICD-10-CM diagnosis code for postauricular fistula, left ear. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 154 through 156. Coders also document this condition as fistula of left postauricular region. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Diseases of middle ear and mastoid (except otitis media).

Code Identity

ICD-10-CM Code
H70.812
Billable Status
Yes — Valid for Submission
Code Describes
Postauricular fistula, left ear
Short Description
Postauricular fistula, left ear
Same as the full description in the CMS dataset.
Parent Code
Postauricular fistula

Code Classification

ChapterH60–H95Diseases of the ear and mastoid process
SectionH65-H75Diseases of middle ear and mastoid
CategoryH70Mastoiditis and related conditions
This CodeH70.812Postauricular fistula, left ear

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Fistula of left postauricular region
  • Postauricular fistula

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR EAR002
Diseases of middle ear and mastoid (except otitis media)
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Ear Infections

Ear infections are the most common reason parents bring their child to a doctor. Three out of four children will have at least one ear infection by their third birthday. Adults can also get ear infections, but they are less common.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert H70.812 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
383.81 Postauricular fistula
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About H70.812Overview

Is H70.812 (Postauricular fistula) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report postauricular fistula, left ear on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H70.812 group to?

When postauricular fistula, left ear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 154, 155, 156, with relative weights from 0.6911 to 1.5635 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of H70.812?

Under the General Equivalence Mappings, postauricular fistula, left ear converts to ICD-9-CM 383.81 (postauricular fistula). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.