2027 ICD-10-CM Diagnosis Code H74.8X9Other specified disorders of middle ear and mastoid, unspecified ear

ICD-10-CM Codes›H60–H95›H65-H75›H74

ICD-10-CM H74.8X9
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

H74.8X9 is a billable ICD-10-CM diagnosis code for other specified disorders of middle ear and mastoid, unspecified ear. 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. 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
H74.8X9
Billable Status
Yes — Valid for Submission
Code Describes
Other specified disorders of middle ear and mastoid, unspecified ear
Short Description
Oth disrd of middle ear and mastoid, unspecified ear
Parent Code
H74.8X
Other specified disorders of middle ear and mastoid

Code Classification

ChapterH60–H95Diseases of the ear and mastoid process
SectionH65-H75Diseases of middle ear and mastoid
CategoryH74Other disorders of middle ear mastoid
This CodeH74.8X9Other specified disorders of middle ear and mastoid, unspecified ear

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Absent acoustic reflex
  • Absent tensor tympani muscle reflex
  • Acoustic reflex finding
  • Acute middle ear effusion
  • Cholesterol granuloma of middle ear
  • Cholesterolosis of middle ear
  • Chronic middle ear effusion
  • Cicatrix of middle ear
  • Discharging mastoid cavity
  • Discharging mastoid cavity - bloody
  • Discharging mastoid cavity - mucopurulent
  • Discharging mastoid cavity - purulent
  • Discharging mastoid cavity-mucus
  • Effusion of middle ear caused by ionizing radiation
  • Epithelial debris of mastoid cavity
  • Finding of moistness of mastoid cavity
  • Fistula of middle ear
  • Fistula sign in middle ear cleft
  • Granulations of mastoid cavity
  • Impaired tensor tympani muscle reflex
  • Mastoid cavity moist
  • Middle ear effusion
  • Middle ear not seen
  • Mucinous cyst of mastoid cavity

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to H74.8X9: its own notes plus those printed at H74 and Chapter 8. A note printed at a category, block or chapter applies to every code under it.

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 H74 Other disorders of middle ear mastoid applies to 36 codes
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)

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.

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

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 H74.8X9 to ICD-9-CMHistory

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

ICD-9-CM
385.89 Dis mid ear/mastoid 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 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About H74.8X9Overview

What is the ICD-10 code for other specified disorders of middle ear and mastoid, unspecified ear?

The ICD-10-CM code for other specified disorders of middle ear and mastoid, unspecified ear is H74.8X9 (sometimes written as H748X9). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is H74.8X9 (Other specified disorders of middle ear and mastoid) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other specified disorders of middle ear and mastoid, unspecified ear on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does H74.8X9 group to?

When other specified disorders of middle ear and mastoid, unspecified ear 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.

What is the ICD-9 equivalent of H74.8X9?

Under the General Equivalence Mappings, other specified disorders of middle ear and mastoid, unspecified ear converts to ICD-9-CM 385.89 (dis mid ear/mastoid NEC). The mapping is approximate, so confirm the match fits the documentation.