ICD-10 Code H68.11 – Osseous obstruction of Eustachian tube (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Osseous obstruction of Eustachian tube is H68.11.
2026 ICD-10-CM Diagnosis Code H68.11 – Osseous obstruction of Eustachian tube

What it is

H68.11 identifies blockage of the Eustachian tube caused by bone or bony narrowing. Use it when documentation specifically states an osseous obstruction rather than a general tube dysfunction.

Clinical signs

Clinical features vary; refer to documentation. Commonly noted findings may include ear fullness, pressure, muffled hearing, or recurrent middle ear fluid when the tube cannot ventilate properly.

When to use this code

Use this code when the provider documents osseous obstruction of the Eustachian tube or a bony cause of Eustachian tube blockage. It may appear in ENT evaluations, imaging reports, or operative notes describing structural narrowing. If the note only says Eustachian tube dysfunction, check documentation.

Do not use for

Do not use H68.11 for nonspecific Eustachian tube dysfunction, inflammatory blockage, or otitis media without documented osseous obstruction. Check documentation if the cause is unclear.

Coding tip

Code H68.11 only when the record clearly ties the obstruction to bone; otherwise query for the specific cause.

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