ICD-10 Code H72.81 – Multiple perforations of tympanic membrane (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H72.81 – Multiple perforations of tympanic membrane
What it is
H72.81 identifies more than one hole in the tympanic membrane, also called the eardrum. It indicates a structural defect of the membrane, usually documented on otoscopic exam.
Clinical signs
Findings may include visible multiple perforations, conductive hearing loss, ear drainage, or a history of chronic ear disease. Clinical features vary; refer to documentation.
When to use this code
Use H72.81 when the record clearly states multiple perforations of the tympanic membrane or describes more than one eardrum defect. It fits confirmed exam findings, not suspected disease. If the note only says “perforated eardrum” without multiplicity, check documentation.
Do not use for
Do not use this code for a single tympanic membrane perforation or for nonspecific ear symptoms alone. Check documentation if the provider describes another ear condition as the primary diagnosis.
Coding tip
Code the documented number of perforations exactly; if multiplicity is not stated, verify the otoscopic report before assigning H72.81.