ICD-10 Code H72.821 – Total perforations of tympanic membrane, right ear (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Total perforations of tympanic membrane, right ear is H72.821.
2026 ICD-10-CM Diagnosis Code H72.821 – Total perforations of tympanic membrane, right ear

What it is

This code identifies a complete perforation of the tympanic membrane in the right ear. It means the eardrum has a full-thickness hole, usually documented on otoscopic exam.

Clinical signs

Findings may include ear pain, hearing loss, drainage, or a visible defect in the right tympanic membrane. Clinical features vary; refer to documentation.

When to use this code

Use H72.821 when the provider documents a total perforation of the right eardrum. It applies whether the finding is new or chronic, as long as the right ear and total perforation are clearly stated.

Code from the medical record, not from suspected laterality or incomplete descriptions. If the note only says “perforated tympanic membrane” or does not specify the right ear, check documentation.

Do not use for

Do not use this code for left or bilateral tympanic membrane perforations, or for partial perforations. If the record describes another ear condition without a perforation, choose the more specific diagnosis.

Coding tip

Verify both laterality and that the perforation is total before assigning H72.821.

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