Is H72 a billable ICD-10-CM code?

No. H72 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H72 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Diseases of middle ear and mastoid (H65-H75).

What cannot be coded together with H72?

H72 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H72

H72 — Perforation of tympanic membrane

Non-billable headerICD-10-CM

H72 is a non-billable header ICD-10-CM code for perforation of tympanic membrane. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)
traumatic rupture of ear drum (S09.2-)

Code first

The underlying condition must be sequenced before this code.

any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)

Includes

Conditions this code covers.

persistent post-traumatic perforation of ear drum
postinflammatory perforation of ear drum

Risk adjustment

H72 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead H72

5 child codes. Green means billable.

Questions about H72

Is H72 a billable ICD-10-CM code?: No. H72 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H72 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of middle ear and mastoid (H65-H75).
What cannot be coded together with H72?: H72 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.