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H74.11

Billable

Adhesive right middle ear disease

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Scarring and adhesions in the right middle ear that cause the small bones and tissues to stick together, reducing hearing ability.

Coding Tips

  • This code is specific to the right ear; use H74.12 for left ear or H74.13 for bilateral
  • Document the presence of adhesions in clinical notes to support medical necessity

Code Hierarchy

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