ICD-10 Code H72.03 – Central perforation of tympanic membrane, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H72.03 – Central perforation of tympanic membrane, bilateral
What it is
H72.03 identifies a central hole in both tympanic membranes. This means the eardrum is perforated in the middle portion on each side, rather than at the edge.
Clinical signs
Typical findings include visible bilateral tympanic membrane openings on otoscopic exam and a history of ear discharge, hearing loss, or recurrent ear infections. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents central perforation of both eardrums, or when exam findings clearly support bilateral central tympanic membrane perforation. You may also use it when the diagnosis is confirmed by ENT evaluation or documented otoscopy.
Do not use for
Do not use this code for traumatic tympanic membrane rupture, marginal perforation, or a perforation documented in only one ear. Check documentation if the laterality or perforation type is unclear.
Coding tip
Confirm both laterality and perforation location before coding, because central, marginal, and unilateral perforations map to different ICD-10-CM codes.