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H72.2X1 vs H72.2X9

H72.2X1 (Other marginal perforations of tympanic membrane, right ear) compared with H72.2X9 (Other marginal perforations of tympanic membrane, unspecified ear), from the official CMS tabular data. H72.2X1 and H72.2X9 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H72.2X1
Right
Other marginal perforations of tympanic membrane, right ear
H72.2X9
Unspecified
Other marginal perforations of tympanic membrane, unspecified ear

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H72.2X1 and H72.2X9 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H72.2X1Other marginal perforations of tympanic membrane, right earH72.2X9Other marginal perforations of tympanic membrane, unspecified ear
Billing statusBillableBillable
ClassificationH60-H95 — Diseases of the ear and mastoid processH60-H95 — Diseases of the ear and mastoid process
DefinitionOther marginal perforations of tympanic membrane, right ear is a billable ICD-10-CM diagnosis code (H72.2X1).Other marginal perforations of tympanic membrane, unspecified ear is a billable ICD-10-CM diagnosis code (H72.2X9).
Includes
persistent post-traumatic perforation of ear drum
postinflammatory perforation of ear drum
persistent post-traumatic perforation of ear drum
postinflammatory perforation of ear drum
Code first
any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)
any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources