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H71 ICD-10-CM Code: Cholesteatoma of middle ear

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FY 2026 Apr update / Diseases of the ear and mastoid process (H60-H95) / Diseases of middle ear and mastoid (H65-H75)

H71

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Cholesteatoma of middle ear

Cholesteatoma of middle ear

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H7Diseases of middle ear and mastoid (H65-H75)
H71Cholesteatoma of middle ear

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H71 in this effective period.

Excludes 2

Official
  • cholesteatoma of external ear (H60.4-)
  • recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)

Related Child Codes

Official
H71.0Cholesteatoma of attic
H71.1Cholesteatoma of tympanum
H71.2Cholesteatoma of mastoid
H71.3Diffuse cholesteatosis
H71.9Unspecified cholesteatoma

Includes

Official

ICD-10-CM does not list Includes notes for H71 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H71 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H71 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H71 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H71 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

H71 is the ICD-10-CM diagnosis code for cholesteatoma of middle ear. H71 sits in the ICD-10-CM chapter for diseases of the ear and mastoid process (h60-h95), within the section covering diseases of middle ear and mastoid (h65-h75).

Header codes like H71 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H71's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H71 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

  • cholesteatoma of external ear (H60.4-)
  • recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)

Child Codes

Code Hierarchy

H71Cholesteatoma of middle ear
H71Cholesteatoma of middle ear

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