2026 ICD-10-CM Diagnosis Code H72.2X1Other marginal perforations of tympanic membrane, right ear

ICD-10-CM Codes›H60–H95›H65-H75›H72

ICD-10-CM H72.2X1
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

H72.2X1 is a billable ICD-10-CM diagnosis code for other marginal perforations of tympanic membrane, right 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 marginal perforation of right tympanic membrane. 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
H72.2X1
Billable Status
Yes — Valid for Submission
Code Describes
Other marginal perforations of tympanic membrane, right ear
Short Description
Other marginal perforations of tympanic membrane, right ear
Same as the full description in the CMS dataset.
Parent Code
H72.2X
Other marginal perforations of tympanic membrane

Code Classification

ChapterH60–H95Diseases of the ear and mastoid process
SectionH65-H75Diseases of middle ear and mastoid
CategoryH72Perforation of tympanic membrane
This CodeH72.2X1Other marginal perforations of tympanic membrane, right ear

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Marginal perforation of right tympanic membrane
  • Marginal perforation of tympanic membrane

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 Disorders

Your ear has three main parts: outer, middle and inner. You use all of them in hearing. Sound waves come in through your outer ear. They reach your middle ear, where they make your eardrum vibrate. The vibrations are transmitted through three tiny bones, called ossicles, in your middle ear.

Read the full article at MedlinePlus

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

Convert H72.2X1 to ICD-9-CMHistory

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

ICD-9-CM
384.23 Marginal perf tymp NEC
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 H72.2X1Overview

Is H72.2X1 (Other marginal perforations of tympanic membrane) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other marginal perforations of tympanic membrane, right ear on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does H72.2X1 group to?

When other marginal perforations of tympanic membrane, right 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 H72.2X1?

Under the General Equivalence Mappings, other marginal perforations of tympanic membrane, right ear converts to ICD-9-CM 384.23 (marginal perf tymp NEC). 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.