ICD-10 Code H72.823 – Total perforations of tympanic membrane, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H72.823 – Total perforations of tympanic membrane, bilateral
What it is
Use this code for complete perforation of both tympanic membranes. It means each eardrum has a full-thickness hole, not just a small defect or scarring.
Clinical signs
Common findings include hearing loss, ear fullness, or a visible central defect on otoscopy. Clinical features vary; refer to documentation.
When to use this code
Assign H72.823 when the provider documents total perforation in both ears, such as after chronic otitis media, trauma, or another confirmed cause. Use it only when bilateral involvement is clearly stated in the record. If laterality is unclear, check documentation.
Do not use for
Do not use this code for unilateral perforation, partial perforation, or tympanic membrane scarring without an open hole. Do not code it when the record only says “perforated eardrum” without confirming both sides.
Coding tip
Verify both laterality and completeness of the perforation before coding, because missing either detail can lead to a different ICD-10-CM code.