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H74.21 vs H74.22

H74.21 (Discontinuity and dislocation of right ear ossicles) compared with H74.22 (Discontinuity and dislocation of left ear ossicles), from the official CMS tabular data. H74.21 and H74.22 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

H74.21
Right
Discontinuity and dislocation of right ear ossicles
H74.22
Left
Discontinuity and dislocation of left ear ossicles

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. H74.21 and H74.22 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

H74.21Discontinuity and dislocation of right ear ossiclesH74.22Discontinuity and dislocation of left ear ossicles
Billing statusBillableBillable
ClassificationH60-H95 — Diseases of the ear and mastoid processH60-H95 — Diseases of the ear and mastoid process
DefinitionDiscontinuity and dislocation of right ear ossicles is a billable ICD-10-CM diagnosis code (H74.21).Discontinuity and dislocation of left ear ossicles is a billable ICD-10-CM diagnosis code (H74.22).

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