Multiple perforations of tympanic membrane, unspecified ear

This code signifies the presence of more than one hole or tear in the eardrum, where the specific ear affected is not documented. These perforations disrupt the normal vibratory function of the tympanic membrane, potentially leading to conductive hearing loss and increased susceptibility to middle ear infections.

Apply this code when documentation clearly indicates multiple perforations of the tympanic membrane, but the laterality (right, left, or bilateral) is not specified. This typically occurs when the provider notes "multiple TM perforations" without further anatomical detail.

• Do not use this code if the laterality is known; instead, select a more specific code from the H72.81- subcategory (e.g., H72.811 for right ear).
• Ensure the documentation explicitly states "multiple" perforations; a single perforation, even if unspecified, would fall under H72.0- or H72.1-.
• Consider sequencing this code with codes for associated conditions like otitis media (H65.-, H66.-) or hearing loss (H90.-) if documented.