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    OpenPayerBilling CodesDiseases of middle ear and mastoidICD-10-CM h68-eustachian-salpingitis-and-obstruction
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    ICD-10-CM Code For Eustachian Salpingitis And Obstruction: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H68 includes diagnoses for inflammation and obstruction of the Eustachian tube, such as eustachian salpingitis, eustachian tube dysfunction, and related conditions affecting middle ear ventilation. These ICD-10-CM diagnosis codes are used to document clinical scenarios involving impaired middle ear drainage or ventilation, symptom severity, and any associated middle ear complications. Accurate coding within the ICD-10-CM H68 group supports proper claim adjudication and complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM H68: Eustachian Salpingitis And Obstruction Overview

    The ICD-10-CM H68 group includes diagnoses related to inflammation and mechanical blockage of the Eustachian tube, which connects the middle ear to the nasopharynx. These conditions affect middle ear ventilation and can lead to symptoms such as ear fullness, hearing changes, or recurrent otitis media. Accurate coding ensures the clinical picture is clear for claims processing and supports appropriate reimbursement and quality reporting.

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    When to Use

    Use a code from this group when clinical documentation indicates inflammation or mechanical obstruction of the Eustachian tube affecting the middle ear. Codes from this group are also appropriate when specifying laterality, acuity, or associated middle ear complications as documented in the medical record.

    ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    H68.001Unspecified Eustachian salpingitis, right ear
    H68.002Unspecified Eustachian salpingitis, left ear
    H68.003Unspecified Eustachian salpingitis, bilateral
    H68.009Unspecified Eustachian salpingitis, unspecified ear
    H68.011Acute Eustachian salpingitis, right ear
    H68.012Acute Eustachian salpingitis, left ear
    H68.013Acute Eustachian salpingitis, bilateral
    H68.019Acute Eustachian salpingitis, unspecified ear
    H68.021Chronic Eustachian salpingitis, right ear
    H68.022Chronic Eustachian salpingitis, left ear
    H68.023Chronic Eustachian salpingitis, bilateral
    H68.029Chronic Eustachian salpingitis, unspecified ear
    H68.101Unspecified obstruction of Eustachian tube, right ear
    H68.102Unspecified obstruction of Eustachian tube, left ear
    H68.103Unspecified obstruction of Eustachian tube, bilateral
    H68.109Unspecified obstruction of Eustachian tube, unspecified ear
    H68.111Osseous obstruction of Eustachian tube, right ear
    H68.112Osseous obstruction of Eustachian tube, left ear
    H68.113Osseous obstruction of Eustachian tube, bilateral
    H68.119Osseous obstruction of Eustachian tube, unspecified ear

    Showing 1–20 of 28

    DRG Codes

    5 rows

    DRG CodeDescription
    152Otitis Media and URI with MCC
    153Otitis Media and URI without MCC
    154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
    155Other Ear, Nose, Mouth and Throat Diagnoses with CC
    156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to urgent care with sudden onset unilateral ear fullness, decreased hearing, and popping after an acute upper respiratory infection. Otoscopy shows retracted tympanic membrane with middle ear effusion and a history of recent nasal congestion and eustachian tube dysfunction symptoms for a few days; the clinician assigns an acute eustachian salpingitis/obstruction diagnosis related to the recent infection. Typical codes: H68.011, H68.012
    • A pediatric patient with recurrent ear pressure, intermittent conductive hearing loss, and chronic ear fullness over several months is evaluated in ENT clinic; tympanometry demonstrates persistent negative middle ear pressure without acute infection. Because symptoms are ongoing and interfere with hearing and development, a chronic eustachian tube obstruction diagnosis is recorded to guide long-term management. Typical codes: H68.121, H68.122
    • A middle-aged patient with sudden barotrauma during air travel develops severe ear pain, persistent aural fullness, and new serous otitis media; evaluation shows hemorrhagic middle ear effusion and dysfunction of the eustachian tube as a complication of pressure injury. The provider documents eustachian salpingitis/obstruction as a complication of barotrauma to explain the effusion and guide treatment. Typical codes: H68.031, H68.039

    Related Codes

    H65-NONSUPPURATIVE-OTITIS-MEDIA

    ICD-10-CM Code For Nonsuppurative Otitis Media: Group Overview

    H66-SUPPURATIVE-AND-UNSPECIFIED-OTITIS-MEDIA

    ICD-10-CM Code For Suppurative And Unspecified Otitis Media: Group Overview

    H67-OTITIS-MEDIA-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Otitis Media In Diseases Classified Elsewhere: Group Overview

    H69-OTHER-AND-UNSPECIFIED-EUSTACHIAN-TUBE

    ICD-10-CM Code For Other And Unspecified Disorders Of Eustachian Tube: Group Overview

    H70-MASTOIDITIS-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Mastoiditis And Related Conditions: Group Overview

    H71-CHOLESTEATOMA-OF-MIDDLE-EAR

    ICD-10-CM Code For Cholesteatoma Of Middle Ear: Group Overview

    H72-PERFORATION-OF-TYMPANIC-MEMBRANE

    ICD-10-CM Code For Perforation Of Tympanic Membrane: Group Overview

    H73-OTHER-DISORDERS-OF-TYMPANIC-MEMBRANE

    ICD-10-CM Code For Other Disorders Of Tympanic Membrane: Group Overview

    H74-OTHER-DISORDERS-MIDDLE-EAR-MASTOID

    ICD-10-CM Code For Other Disorders Of Middle Ear Mastoid: Group Overview

    H75-OTHER-MIDDLE-EAR-DISORDERS

    ICD-10-CM Code For Other Disorders Of Middle Ear And Mastoid In Diseases Classified Elsewhere: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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