2027 ICD-10-CM Diagnosis Code H72.13Attic perforation of tympanic membrane, bilateral
ICD-10-CM Codes›H60–H95›H65-H75›H72
- Billable — Valid for Submission
- Not Chronic
H72.13 is a billable ICD-10-CM diagnosis code for attic perforation of tympanic membrane, bilateral. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 154 through 156. Coders also document this condition as attic perforation of tympanic membrane. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Diseases of middle ear and mastoid (except otitis media).
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Attic perforation of tympanic membrane
- Bilateral perforation of pars flaccida of tympanic membranes
- Bilateral perforation of tympanic membranes
- Perforation of pars flaccida of left tympanic membrane
- Perforation of pars flaccida of right tympanic membrane
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H72.13: its own notes plus those printed at H72 and 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.
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.
- 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.
- 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 H72.13, its category, or a range that includes it.
Use Additional Code 9
These codes say to use an additional code from the note, and H72.13 is one of the codes named.
- H65 Nonsuppurative otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H66.1 Chronic tubotympanic suppurative otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H66.2 Chronic atticoantral suppurative otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H66.3 Other chronic suppurative otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H66.4 Suppurative otitis media, unspecifiedcode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H66.9 Otitis media, unspecifiedcode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- H67 Otitis media in diseases classified elsewherecode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- J10.83 Influenza due to other identified influenza virus with otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
- J11.83 Influenza due to unidentified influenza virus with otitis mediacode for any associated perforated tympanic membrane (H72.-) names H72.-, which includes this code
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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?
- Can ear disorders be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H72.13 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H72.13Overview
What is the ICD-10 code for attic perforation of tympanic membrane, bilateral?
The ICD-10-CM code for attic perforation of tympanic membrane, bilateral is H72.13 (sometimes written as H7213). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H72.13 (Attic perforation of tympanic membrane) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report attic perforation of tympanic membrane, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H72.13 group to?
When attic perforation of tympanic membrane, bilateral is the principal diagnosis on an inpatient stay, it groups to MS-DRG 156, 155, 154, with relative weights from 0.6656 to 1.5916 depending on complications. Higher weights mean higher Medicare reimbursement.
Can H72.13 be reported with a code from H66.01?
Not as a rule. The Excludes1 note at H72, which applies to H72.13, 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).
