Multiple perforations of tympanic membrane, bilateral

This code signifies the presence of more than one hole or tear in the eardrum of both ears. These perforations can result from various causes, including chronic infection, trauma, or previous surgical interventions.

This code is appropriate when documentation clearly indicates multiple perforations affecting both the left and right tympanic membranes. It should be used for patients presenting with bilateral, multifocal eardrum defects. Documentation should specify the bilaterality and the presence of multiple perforations.

• Ensure documentation explicitly states "multiple" perforations for both ears.
• Distinguish from single perforations (H72.0-H72.2) or unspecified perforations (H72.8X).
• Consider an external cause code if the perforation is due to trauma.