Is ICD-10-CM code H92 billable?

No, H92 (Otalgia and effusion of ear) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code H92 belong to?

H92 belongs to Chapter 8 of the ICD-10-CM tabular list: H60–H95 (Diseases of the Ear and Mastoid Process).

H92Not billable, use a more specific code below

Otalgia and effusion of ear

In Other disorders of ear (H90-H94), chapter 8: Diseases of the Ear and Mastoid Process

12 billable codes under H92: none are a CC or MCC; none map to an HCC.

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 8 yet, so the general rules in Section I.B apply.

Read Section I.C.8 (page 49)

All codes under H92

H92 can't be used on a claim. Pick a billable code below; grey headings group them.

H92 MS-DRGs

As the principal diagnosis, all 12 billable codes under H92 group to MS-DRG 154, 155, or 156 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to H92

Notes on these codes point to H92.

Z83.52 Includes: Conditions classifiable to H60-H83, H92-H95

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Ear Disorders

An ear disorder is any condition that changes or harms the shape or structure of your ear. This can include abnormal ear shapes you're born with, injuries that change your ear's shape, and a growth on or in the ear.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.