2027 ICD-10-CM Diagnosis Code H72Perforation of tympanic membrane

ICD-10-CM Codes›H60–H95›H65-H75›H72

ICD-10-CM H72
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H72 is a non-billable ICD-10-CM category code for perforation of tympanic membrane, so it cannot be submitted on claims. Use a more specific code from this category instead, such as H72.00, H72.01, H72.02, and H72.03.

Code Identity

ICD-10-CM Code
H72
Billable Status
No — Non-Billable Category
Code Describes
Perforation of tympanic membrane
Short Description
Perforation of tympanic membrane
Same as the full description in the CMS dataset.
Chapter
H65-H75
Diseases of middle ear and mastoid

Code Classification

ChapterH60–H95Diseases of the ear and mastoid process
SectionH65-H75Diseases of middle ear and mastoid
CategoryH72Perforation of tympanic membrane
This CodeH72Perforation of tympanic membrane

Specific Coding for Perforation of tympanic membraneOverview

Non-specific codes like H72 require more characters. Use one of these billable codes instead:

  • H72.0 for Central perforation of tympanic membrane

  • Use H72.00 for Central perforation of tympanic membrane, unspecified ear

  • Use H72.01 for Central perforation of tympanic membrane, right ear

  • Use H72.02 for Central perforation of tympanic membrane, left ear

  • Use H72.03 for Central perforation of tympanic membrane, bilateral

  • H72.1 for Attic perforation of tympanic membrane

  • Use H72.10 for Attic perforation of tympanic membrane, unspecified ear

  • Use H72.11 for Attic perforation of tympanic membrane, right ear

  • Use H72.12 for Attic perforation of tympanic membrane, left ear

  • Use H72.13 for Attic perforation of tympanic membrane, bilateral

  • H72.2 for Other marginal perforations of tympanic membrane

  • H72.2X for Other marginal perforations of tympanic membrane

  • H72.8 for Other perforations of tympanic membrane

  • H72.81 for Multiple perforations of tympanic membrane

  • H72.82 for Total perforations of tympanic membrane

  • H72.9 for Unspecified perforation of tympanic membrane

  • Use H72.90 for Unspecified perforation of tympanic membrane, unspecified ear

  • Use H72.91 for Unspecified perforation of tympanic membrane, right ear

  • Use H72.92 for Unspecified perforation of tympanic membrane, left ear

  • Use H72.93 for Unspecified perforation of tympanic membrane, bilateral

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H72: its own notes plus those printed at Chapter 8. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

  • persistent post-traumatic perforation of ear drum
  • postinflammatory perforation of ear drum

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

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

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 8 (H60-H95) Diseases of the ear and mastoid process applies to 653 codes
  • 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)

Code First

The underlying condition named in the note is sequenced before this code.

Notes

General instructions on how these codes are used.

From Chapter 8 (H60-H95) Diseases of the ear and mastoid process applies to 653 codes
  • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name H72, its category, or a range that includes it.

Use Additional Code 9

These codes say to use an additional code from the note, and H72 is one of the codes named.

  • H65 Nonsuppurative otitis media
    code for any associated perforated tympanic membrane (H72.-)
  • H66.1 Chronic tubotympanic suppurative otitis media
    code for any associated perforated tympanic membrane (H72.-)
  • H66.2 Chronic atticoantral suppurative otitis media
    code for any associated perforated tympanic membrane (H72.-)
  • H66.3 Other chronic suppurative otitis media
    code for any associated perforated tympanic membrane (H72.-)
  • H66.4 Suppurative otitis media, unspecified
    code for any associated perforated tympanic membrane (H72.-)
  • H66.9 Otitis media, unspecified
    code for any associated perforated tympanic membrane (H72.-)
  • H67 Otitis media in diseases classified elsewhere
    code for any associated perforated tympanic membrane (H72.-)
  • J10.83 Influenza due to other identified influenza virus with otitis media
    code for any associated perforated tympanic membrane (H72.-)
  • J11.83 Influenza due to unidentified influenza virus with otitis media
    code for any associated perforated tympanic membrane (H72.-)

Patient EducationClinical

Ear Disorders

An ear disorder is any condition that changes or harms the shape or structure of your ear. This can include abnormal ear shapes you're born with, injuries that change your ear's shape, and a growth on or in the ear.

The full article covers:

  • What is an ear disorder?
  • What causes ear disorders?
  • What are the symptoms of ear disorders?
  • How are ear disorders diagnosed?
  • How are ear disorders treated?
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Read the full article at MedlinePlus

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

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H72Overview

What is the ICD-10 code for perforation of tympanic membrane?

H72 is the ICD-10-CM category for perforation of tympanic membrane, but it is a non-billable header: claims need a more specific code from this category, listed on this page.

Is H72 (Perforation of tympanic membrane) a billable code?

No. This is a category header that groups the codes for perforation of tympanic membrane, and headers cannot be submitted on claims. Claims for perforation of tympanic membrane need a more specific code from this category, such as H72.00, H72.01, and H72.02.

Can H72 be reported with a code from H66.01?

Not as a rule. The Excludes1 note on H72 lists "acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is coded first with H72?

The Code First note reads: any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-). When one of these applies, it is sequenced before H72.