H70.213 ICD-10-CM Code: Acute petrositis, bilateral
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.
- MS-DRG 152 — OTITIS MEDIA AND URI WITH MCC (MDC 03)
- MS-DRG 153 — OTITIS MEDIA AND URI WITHOUT MCC (MDC 03)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coder workflow for H70.213
MedCoder structured workflow — derived from this code’s own official record
Before you code H70.213
- Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: bilateral). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).
Choose the right path
- Is the side documented?
Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
No → Use the unspecified-side code only when the record states no side; a query is the alternative.
Consider H70.213. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Laterality
- Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
- Acuity
- Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The record documents the condition on one side only.
Coding question: Which code in this family applies?
Path: Select the sibling code for the documented side.
Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Coding Guidelines
No excerpt in the ICD-10-CM Official Guidelines names this code specifically. Its chapter carries only this chapter-wide note:
Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95)
Reserved for future guideline expansion
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name H70.213 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes2 notes across 2 chapters: H74 — Other disorders of middle ear mastoid (via H70.-), M86 — Osteomyelitis (via H70.2.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 2 MS-DRGs: DRG 152 (MDC 03), DRG 153 (MDC 03).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):EAR002 — Diseases of middle ear and mastoid (except otitis media) (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Diseases of middle ear and mastoid (except otitis media)).
H70.10 — Chronic mastoiditis, unspecified ear, H70.11 — Chronic mastoiditis, right ear, H70.12 — Chronic mastoiditis, left ear, H70.13 — Chronic mastoiditis, bilateral, H70.201 — Unspecified petrositis, right ear, H70.202 — Unspecified petrositis, left ear, H70.203 — Unspecified petrositis, bilateral, H70.209 — Unspecified petrositis, unspecified ear, H70.211 — Acute petrositis, right ear, H70.212 — Acute petrositis, left ear, H70.219 — Acute petrositis, unspecified ear, H70.221 — Chronic petrositis, right ear, H70.222 — Chronic petrositis, left ear, H70.223 — Chronic petrositis, bilateral, H70.229 — Chronic petrositis, unspecified ear, H70.811 — Postauricular fistula, right ear, H70.812 — Postauricular fistula, left ear, H70.813 — Postauricular fistula, bilateral, H70.819 — Postauricular fistula, unspecified ear, H70.891 — Other mastoiditis and related conditions, right ear, +204 more
Contextual Map
Every relationship of H70.213 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run H70.213 with these 2 related codes in Claim Check
Hierarchy
- H60-H95 — Chapter 8: Diseases of the Ear and Mastoid Process (H60-H95) (H60-H95)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H65-H75 — Diseases of middle ear and mastoid[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes2 notes
- H74 — Other disorders of middle ear mastoid[Excludes2](via H70.-): “mastoiditis (H70.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- M86 — Osteomyelitis[Excludes2](via H70.2.-): “petrous bone (H70.2-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Clinical classification (CCSR)
- EAR002 — Diseases of middle ear and mastoid (except otitis media)[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 152 — OTITIS MEDIA AND URI WITH MCC[MS-DRG]: “OTITIS MEDIA AND URI WITH MCC (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- DRG 153 — OTITIS MEDIA AND URI WITHOUT MCC[MS-DRG]: “OTITIS MEDIA AND URI WITHOUT MCC (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
MDC crossing
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,147 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2026
Nearest codes (40)
- H70 — Mastoiditis and related conditions[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.019 — Subperiosteal abscess of mastoid, unspecified ear[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.09 — Acute mastoiditis with other complications[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.091 — Acute mastoiditis with other complications, right ear[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.092 — Acute mastoiditis with other complications, left ear[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.093 — Acute mastoiditis with other complications, bilateral[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.099 — Acute mastoiditis with other complications, unspecified ear[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- H70.1 — Chronic mastoiditis[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Coding guidelines Official source data
- ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "H70.213 — Acute petrositis, bilateral." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/h70.213-acute-petrositis-bilateral
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionAcute petrositis, bilateral
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to H70.213 in its code family, with their registry titles.
- H70.203 — Unspecified petrositis, bilateral
- H70.209 — Unspecified petrositis, unspecified ear
- H70.21 — Acute petrositis
- H70.211 — Acute petrositis, right ear
- H70.212 — Acute petrositis, left ear
- H70.219 — Acute petrositis, unspecified ear
- H70.22 — Chronic petrositis
- H70.221 — Chronic petrositis, right ear
- H70.222 — Chronic petrositis, left ear
- H70.223 — Chronic petrositis, bilateral