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H95.113

Billable

Chronic inflammation of postmastoidectomy cavity, bilateral ears

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

What This Code Means

This condition occurs when a patient who has had mastoid surgery develops long-term inflammation in the surgical cavity on both sides of the head behind the ears. The inflammation persists over time and affects both ears.

Coding Tips

  • Verify that the patient has a documented history of mastoidectomy surgery on both ears before assigning this bilateral code
  • Ensure clinical documentation specifically states 'chronic' inflammation rather than acute to support the H95.113 code selection; if only one ear is affected, use H95.111 instead

Code Hierarchy

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