Is H92.01 a billable ICD-10-CM code?

Yes. H92.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H92.01 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).

H92.01

H92.01 — Otalgia, right ear

Billable / specific codeICD-10-CMright

H92.01 is a billable, specific ICD-10-CM code for otalgia, right ear. It is valid for submission on a claim.

Risk adjustment

H92.01 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.

Medicare coverage

H92.01 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57204Billing and Coding: MRI and CT Scans of the Head and Neck

Code history

H92.01 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H92.0. If H92.01 is not quite right, the correct code is usually one of these.

Questions about H92.01

Is H92.01 a billable ICD-10-CM code?: Yes. H92.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H92.01 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Other disorders of ear (H90-H94).