S09.22XA ICD-10-CM Code: Traumatic rupture of left ear drum, initial encounter
S09.22XA is the authoritative medical code for Traumatic rupture of left ear drum, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for traumatic rupture of left ear drum, initial encounter (ICD-10-CM S09.22XA), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
- MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
- MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)
- MS-DRG 963 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC (MDC 24)
- MS-DRG 964 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC (MDC 24)
- MS-DRG 965 — OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC (MDC 24)
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.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S09.22XA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of ear
- injuries of eye
- injuries of face [any part]
- injuries of gum
- injuries of jaw
- injuries of oral cavity
- injuries of palate
- injuries of periocular area
- injuries of scalp
- injuries of temporomandibular joint area
- injuries of tongue
- injuries of tooth
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- traumatic rupture of ear drum due to blast injury (S09.31-)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions (T20-T32)
- effects of foreign body in ear (T16)
- effects of foreign body in larynx (T17.3)
- effects of foreign body in mouth NOS (T18.0)
- effects of foreign body in nose (T17.0-T17.1)
- effects of foreign body in pharynx (T17.2)
- effects of foreign body on external eye (T15.-)
- frostbite (T33-T34)
- insect bite or sting, venomous (T63.4)
Code Also
Additional codes that may be required to fully describe the encounter.
- for any associated infection
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S09.22XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S09.
What can't be coded together with S09.22XA?
Per official ICD-10-CM Excludes1 instructions, S09.22XA must not be reported together with: traumatic rupture of ear drum due to blast injury (S09.31-).
Can S09.22XA be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S09.22XA and the following are not considered part of each other and may both be reported when both conditions are present: burns and corrosions (T20-T32); effects of foreign body in ear (T16); effects of foreign body in larynx (T17.3); effects of foreign body in mouth NOS (T18.0).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S09.22XA in its code family, with their registry titles.
- S09.21 — Traumatic rupture of right ear drum
- S09.21XA — Traumatic rupture of right ear drum, initial encounter
- S09.21XD — Traumatic rupture of right ear drum, subsequent encounter
- S09.21XS — Traumatic rupture of right ear drum, sequela
- S09.22 — Traumatic rupture of left ear drum
- S09.22XD — Traumatic rupture of left ear drum, subsequent encounter
- S09.22XS — Traumatic rupture of left ear drum, sequela
- S09.3 — Other specified and unspecified injury of middle and inner ear
- S09.30 — Unspecified injury of middle and inner ear
- S09.301 — Unspecified injury of right middle and inner ear