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H74.12

Billable

Adhesive left middle ear disease

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

What This Code Means

This condition occurs when scar tissue forms and sticks to the bones and structures inside the left middle ear, causing hearing loss and reduced ear mobility. It typically develops after ear infections, ear surgery, or trauma to the ear.

Coding Tips

  • Verify laterality is documented as left (H74.12) versus right (H74.11) or bilateral (H74.13) to ensure accurate code selection
  • Distinguish between adhesive otitis media and other middle ear conditions like otosclerosis or conductive hearing loss, as they require different codes

Code Hierarchy

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