Traumatic rupture of right ear drum, sequela

This code signifies a chronic or late effect of a traumatic perforation of the right tympanic membrane. It indicates that the initial injury has healed, but residual issues or complications stemming from that original trauma are now being addressed. This could include persistent hearing loss, chronic otitis media, or other long-term sequelae.

Apply this code when documentation clearly states a current condition is a direct consequence of a previously sustained traumatic rupture of the right ear drum. The patient's encounter should focus on managing or evaluating these long-term effects, not the initial acute injury. Look for terms like "due to prior trauma," "history of traumatic perforation with residual hearing loss," or "sequela of."

• Requires a secondary code to identify the specific sequela (e.g., H90.x for hearing loss, H65.x for chronic otitis media).
• Do not use for acute traumatic ruptures; those are coded with S09.21XA or S09.21XD.
• Ensure documentation explicitly links the current condition to the prior traumatic ear drum rupture.