ICD-10 Code H72.91 – Unspecified perforation of tympanic membrane, right ear (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Unspecified perforation of tympanic membrane, right ear is H72.91.
2026 ICD-10-CM Diagnosis Code H72.91 – Unspecified perforation of tympanic membrane, right ear

What it is

This code identifies a hole or tear in the right eardrum when the documentation does not specify the cause or type. It indicates the affected side, but not whether the perforation is acute, chronic, or traumatic.

Clinical signs

Clinical features vary; refer to documentation. Common findings may include ear pain, hearing loss, drainage, or a visible defect on otoscopic exam.

When to use this code

Use H72.91 when the record states a perforation of the right tympanic membrane and does not provide a more specific diagnosis. It is appropriate when laterality is documented but the etiology or chronicity is unclear. Check documentation if the provider describes trauma, infection, or another specific cause.

Do not use for

Do not use this code for left or bilateral tympanic membrane perforation, or when a more specific perforation code is documented. Avoid it if the record clearly identifies a traumatic or other specified cause.

Coding tip

Always confirm laterality and look for a more specific perforation description before assigning H72.91.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *