H72.811

Multiple perforations of tympanic membrane, right ear

FY2027Chapter 8: Diseases of the ear and mastoid process/H65–H75 Diseases of middle ear and mastoid

BillableComplete code, valid to report

H72.811 (also written H72811) is a billable ICD-10-CM diagnosis code for multiple perforations of tympanic membrane, right ear. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 24 codes in category H72 (Perforation of tympanic membrane). Its coding notes include a Code first instruction, 2 Excludes1 entries and 8 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from H72 Perforation of tympanic membrane

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from H72 Perforation of tympanic membrane
  • acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)
  • traumatic rupture of ear drum (S09.2-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

Further defines or gives examples of the content of the category.

Inherited from H72 Perforation of tympanic membrane
  • persistent post-traumatic perforation of ear drum
  • postinflammatory perforation of ear drum

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition