ICD-10 Coding for Broken Ear Drum(S09.2, H72, H66.01)
Complete ICD-10-CM coding and documentation guide for Broken Ear Drum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Broken Ear Drum
S09.2Primary Range
Injury of ear, unspecified
Primary range for traumatic tympanic membrane perforations.
Acute suppurative otitis media with spontaneous rupture of ear drum
Used when perforation is due to acute suppurative otitis media.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S09.2 | Injury of ear, unspecified | Use for traumatic causes of tympanic membrane perforation. |
|
| H72 | Perforation of tympanic membrane | Use for non-traumatic causes of tympanic membrane perforation. |
|
| H66.01 | Acute suppurative otitis media with spontaneous rupture of ear drum | Use when perforation is due to acute suppurative otitis media. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for broken ear drum
Essential facts and insights about Broken Ear Drum
Primary ICD-10-CM Codes for broken ear drum
Decision Criteria
clinical Criteria
- Presence of trauma history and jagged perforation
Applicable To
- Traumatic rupture of tympanic membrane
Excludes
- Non-traumatic perforation (H72)
Clinical Validation Requirements
- Otoscopy showing jagged perforation
- History of trauma
Code-Specific Risks
- Confusion with non-traumatic perforations
Coding Notes
- Ensure documentation specifies the traumatic nature and mechanism.
H72 - Perforation of tympanic membrane
Use for non-traumatic causes of tympanic membrane perforation.
Applicable To
- Non-traumatic perforation
Excludes
- Traumatic rupture (S09.2)
Clinical Validation Requirements
- Audiometry showing conductive hearing loss
- Absence of trauma history
Coding Notes
Document the absence of trauma and chronicity.
H66.01 - Acute suppurative otitis media with spontaneous rupture of ear drum
Use when perforation is due to acute suppurative otitis media.
Applicable To
- Rupture due to acute infection
Excludes
- Chronic perforation (H72)
Clinical Validation Requirements
- Presence of purulent discharge
- Acute onset of symptoms
Coding Notes
Ensure linkage between infection and perforation is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Contact with sharp object
W29.0XXADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Broken Ear Drum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S09.2.
Impact
Clinical: Ambiguity in treatment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify left, right, or bilateral, Use templates with laterality prompts
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data
Mitigation Strategy
Use S09.2 with appropriate external cause codes.
Impact
Inadequate documentation of trauma mechanism
Mitigation Strategy
Use structured templates to capture all necessary details.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Broken Ear Drum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Broken Ear Drum
Use these documentation templates to ensure complete and accurate documentation for Broken Ear Drum. These templates include all required elements for proper coding and billing.
Traumatic Ear Drum Perforation
Specialty: OtolaryngologyRequired Elements
- Mechanism of injury
- Otoscopy findings
- Audiometry results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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