Otolaryngology

Menu

Otolaryngology

General Documentation Considerations

Documentation requirements for diagnoses related to the ear and oral cavity include:

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
474.00 Chronic tonsillitis
J35.01
Chronic tonsillitis

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
382.3 Unspecified chronic suppurative otitis media
H66.3x1 Other chronic suppurative otitis media, right ear
H66.3x2 Other chronic suppurative otitis media, left ear
H66.3x3
Other chronic suppurative otitis media, bilateral
H66.3x9
Other chronic suppurative otitis media, unspecified ear

* Use additional code for any associated perforated tympanic membrane (H72-)

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
474.10 Hypertrophy of tonsils with adenoids
J35.3 Hypertrophy of tonsils with hypertrophy of adenoids

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
381.10 Chronic serous otitis media, simple or unspecified
H65.20 Chronic serous otitis media, unspecified ear
H65.21 Chronic serous otitis media, right ear
H65.22
Chronic serous otitis media, left ear
H65.23
Chronic serous otitis media, bilateral

* Use additional code for any associated perforated tympanic membrane (H72-)

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
470 Deviated nasal septum
J34.2 Deviated nasal septum
327.23 Obstructive sleep apnea (adult)(pediatric)
G47.33 Obstructive sleep apnea (adult)(pediatric)

** Code also any associated underlying condition
384.20 Perforation of tympanic membrane, unspecified
H72.90 Unspecified perforation of tympanic membrane, unspecified ear

**Code first any associated otitis media (H65-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67-)
H72.91
Unspecified perforation of tympanic membrane, right ear
H72.92
Unspecified perforation of tympanic membrane, left ear
H72.93
Unspecified perforation of tympanic membrane, bilateral
H72.00
Central perforation of tympanic membrane, unspecified ear
H72.01
Central perforation of tympanic membrane, right ear
H72.02
Central perforation of tympanic membrane, left ear
H72.03
Central perforation of tympanic membrane, bilateral
H72.10
Attic perforation of tympanic membrane, unspecified ear
H72.11
Attic perforation of tympanic membrane, right ear
H72.12
Attic perforation of tympanic membrane, left ear
H72.13
Attic perforation of tympanic membrane, bilateral
H72.2x1
Other marginal perforations of tympanic membrane, right ear
H72.2x2
Other marginal perforations of tympanic membrane, left ear
H72.2x3
Other marginal perforations of tympanic membrane, bilateral
H72.2x9
Other marginal perforations of tympanic membrane, unspecified ear
H72.811
Multiple perforations of tympanic membrane, right ear
H72.812
Multiple perforations of tympanic membrane, left ear
H72.813
Multiple perforations of tympanic membrane, bilateral
H72.819
Multiple perforations oftympanic membrane, unspecified ear
H72.821
Total perforations of tympanic membrane, right ear
H72.822
Total perforations of tympanic membrane, left ear
H72.823
Total perforations of tympanic membrane, bilateral
H72.829
Total perforations of tympanic membrane, unspecified ear
382.9 Otitis media, unspecified
H66.90 Otitis media, unspecified, unspecified ear

* Use additional code for any associated perforated tympanic membrane (H72-)

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
H66.91
Otitis media, unspecified, right ear
H66.92
Otitis media, unspecified, let ear
H66.93
Otitis media, unspecified, bilateral
H65.00
Acute serous otitis media, unspecified ear
H65.01
Acute serous otitis media, right ear
H65.02
Acute serous otitis media, left ear
H65.03
Acute serous otitis media, bilateral
H65.04
Acute serous otitis media, recurrent, right ear
H65.05
Acute serous otitis media, recurrent, left ear
H65.06
Acute serous otitis media, recurrent, bilateral
H65.07
Acute serous otitis media, recurrent, unspecified ear
H65.111
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
H65.112
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
H65.113
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
H65.114
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
H65.115
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
H65.116
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
H65.117
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ea
H65.119
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
H65.191
Other acute nonsuppurative otitis media, right ear
H65.192
Other acute nonsuppurative otitis media, left ear
H65.193
Other acute nonsuppurative otitis media, bilateral
H65.194
Other acute nonsuppurative otitis media, recurrent, right ear
H65.195
Other acute nonsuppurative otitis media, recurrent, left ear
H65.196
Other acute nonsuppurative otitis media, recurrent, bilateral
H65.197
Other acute nonsuppurative otitis media, recurrent, unspecified ear
H65.199
Other acute nonsuppurative otitis media, unspecified ear
H65.20
Chronic serous otitis media, unspecified ear
H65.21
Chronic serous otitis media, right ear
H65.22
Chronic serous otitis media, left ear
H65.23
Chronic serous otitis media, bilateral
H65.30
Chronic mucoid otitis media, unspecified ear
H65.31
Chronic mucoid otitis media, right ear
H65.32
Chronic mucoid otitis media, left ear
H65.33
Chronic mucoid otitis media, bilateral
H65.411
Chronic allergic otitis media, right ear
H65.412
Chronic allergic otitis media, left ear
H65.413
Chronic allergic otitis media, bilateral
H65.419
Chronic allergic otitis media, unspecified ear
H65.491
Other chronic nonsuppurative otitis media, right ear
H65.492
Other chronic nonsuppurative otitis media, left ear
H65.493
Other chronic nonsuppurative otitis media, bilateral
H65.499
Other chronic nonsuppurative otitis media, unspecified ear
H65.90
Unspecified nonsuppurative otitis media, unspecified ear
H65.91
Unspecified nonsuppurative otitis media, right ear
H65.92
Unspecified nonsuppurative otitis media, left ear
H65.93
Unspecified nonsuppurative otitis media, bilateral
H66.001
Acute suppurative otitis media without spontaneous rupture of ear drum, right ear
H66.002
Acute suppurative otitis media without spontaneous rupture of ear drum, left ear
H66.003
Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral
H66.004
Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear
H66.005
Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear
H66.006
Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral
H66.007
Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear
H66.009
Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear
H66.011
Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
H66.012
Acute suppurative otitis media with spontaneous rupture of ear drum, left ear
H66.013
Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral
H66.014
Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear
H66.015
Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear
H66.016
Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral
H66.017
Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
H66.019
Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear
H66.10
Chronic tubotympanic suppurative otitis media, unspecified
H66.11
Chronic tubotympanic suppurative otitis media, right ear
H66.12
Chronic tubotympanic suppurative otitis media, left ear
H66.13
Chronic tubotympanic suppurative otitis media, bilateral
H66.20
Chronic atticoantral suppurative otitis media, unspecified ear
H66.21
Chronic atticoantral suppurative otitis media, right ear
H66.22
Chronic atticoantral suppurative otitis media, left ear
H66.23
Chronic atticoantral suppurative otitis media, bilateral
H66.3X1 Other chronic suppurative otitis media, right ear
H66.3X2
Other chronic suppurative otitis media, left ear
H66.3X3
Other chronic suppurative otitis media, bilateral
H66.3X9
Other chronic suppurative otitis media, unspecified ear
H66.40
Suppurative otitis media, unspecified, unspecified ear
H66.41
Suppurative otitis media, unspecified, right ear
H66.42
Suppurative otitis media, unspecified, left ear
H66.43
Suppurative otitis media, unspecified, bilateral
H66.91
Unspecified otitis media, right ear
H66.92
Unspecified otitis media, left ear
H66.93
Unspecified otitis media, bilateral
474.01 Chronic adenoiditis
J35.02 Chronic adenoiditis
381.20 Chronic mucoid otitis media, simple or unspecified
H65.30 Chronic mucoid otitis media, unspecified ear
H65.31
Chronic mucoid otitis media, right ear
H65.32
Chronic mucoid otitis media, left ear
H65.33 Chronic mucoid otitis media, bilatera
473.9 Unspecified sinusitis (chronic)
J32.9 Chronic sinusitis, unspecified

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
J32.0
Chronic maxillary sinusitis
J32.1
Chronic frontal sinusitis
J32.2
Chronic ethmoidal sinusitis
J32.3
Chronic sphenoidal sinusitis
J32.4
Chronic pansinusitis
J32.8
Other chronic sinusitis
784.7 Epistaxis
R04.0 Epistaxis
475 Peritonsillar abscess
J36 Peritonsillar abscess
473.8 Chronic sinusitis, NEC
J32.8 Other chronic sinusitis

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
J32.0
Chronic maxillary sinusitis
J32.1
Chronic frontal sinusitis
J32.2
Chronic ethmoidal sinusitis
J32.3
Chronic sphenoidal sinusitis
J32.4
Chronic pansinusitis
J32.9
Chronic sinusitis, unspecified
210.2 Benign neoplasm of major salivary glands
D11.0 Benign neoplasm of parotid gland
D11.9 Benign neoplasm of major salivary gland, unspecified
D11.7
Benign neoplasm of other major salivary glands
237.4 Neoplasm of uncertain behavior of other and unspecified endocrine glands
D44.0 Neoplasm of uncertain behavior of thyroid gland
D44.2 Neoplasm of uncertain behavior of parathyroid gland
D44.9
Neoplasm of uncertain behavior of unspecfieid endocrine gland
239.1 Neoplasm of respiratory system, unspecified nature
D49.1 Neoplasm of respiratory system, unspecified nature
478.0 Hypertrophy of nasal turbinates
J34.3
Hypertrophy of nasal turbinates
173.30 Unspecified malignant neoplasm of skin of other and unspecified parts of face
C44.30 Malignant neoplasm of skin of unspecified part of face
C44.31 Malignant neoplasm of skin of nose
C44.39
Malignant neoplasm of skin of other parts of face
C44.300
Unspecified malignant neoplasm of skin of unspecified part efface
C44.301
Unspecified malignant neoplasm of skin of nose
C44.309
Unspecified malignant neoplasm of skin of other parts of face
C44.310
Basal cell carcinoma of skin of unspecified part of face
C44.311
Basal cell carcinoma of skin of nose
C44.319
Basal cell carcinoma of skin of other parts of face
C44.320
Squamous cell carcinoma of skin of unspecified parts of face
C44.321
Squamous cell carcinoma of skin of nose
C44.329
Squamous cell carcinoma of skin of other parts of face
C44.390
Other specified malignant neoplasm of skin of unspecified parts of face
C44.391
Other specified malignant neoplasm of skin of nose
C44.399
Other specified malignant neoplasm of skin of other parts of face
161.9 Malignant neoplasm of larynx, unspecified
C32.9 Malignant neoplasm of larynx, unspecified

* Use additional code to identify:

Alcohol abuse and dependence (F1O-)

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
C32.0
Malignant neoplasm of glottis
C32.1
Malignant neoplasm of supraglottis
C32.2
Malignant neoplasm of subglottis
C32.3
Malignant neoplasm of laryngeal cartilage
C32.8
Malignant neoplasm of overlapping sites of larynx
235.1 Neoplasm of lip, oral cavity, and pharynx, uncertain behavior
D37.01 Neoplasm of uncertain behavior of lip
D37.02 Neoplasm of uncertain behavior of tongue
D37.04
Neoplasm of uncertain behavior of minor salivary glands
D37.05
Neoplasm of uncertain behavior of pharynx
D37.09
Neoplasm of uncertain behavior of other specified sites of the oral cavity
784.2 Swelling, mass, or lump in head and neck
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
239.0 Neoplasm of digestive system, unspecified nature
D49.0 Neoplasm of unspecified behavior of digestive system
474.12 Hypertrophy of adenoids
J35.2 Hypertrophy of adenoids
478.5 Other diseases of vocal cords
J38.3 Other diseases of vocal cords
706.2 Sebaceous cyst
L72.3 Sebaceous cyst
241.0 Nontoxic uninodular goiter
L72.1 Trichodermal cyst
173.20 Malignant neoplasm of skin of ear and external auditory canal
C44.201 Unspecified malignant neoplasm of skin of unspecified ear and external auricular canal
C44.202 Unspecified malignant neoplasm of skin of right ear and external auricular canal
C44.209
Unspecified malignant neoplasm of skin of left ear and external auricular canal
C44.211
Basal cell carcinoma of skin of unspecified ear and external auricular canal
C44.212
Basal cell carcinoma of skin of right ear and external auricular canal
C44.219
Basal cell carcinoma of skin of left ear and external auricular canal
C44.221
Squamous cell carcinoma of skin of unspecified ear and external auricular canal
C44.222
Squamous cell carcinoma of skin of right ear and external auricular canal
C44.229
Squamous cell carcinoma of skin of left ear and external auricular canal
C44.291
Other specified malignant neoplasm of unspecified ear and external auricular canal
C44.292
Other specified malignant neoplasm of skin of right ear and external auricular canal
C44.299
Other specified malignant neoplasm of skin of left ear and external auricular canal
474.11 Hypertrophy of tonsils
J35.1 Hypertrophy of tonsils

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
802.0 Fracture of nasal bones, closed
S02.2xxA Fracture of nasal bones, initial encounter for closed fracture
S02.2xxD Fracture of nasal bones, subsequent encounter for fracture with routine healing
S02.2xxG
Fracture of nasal bones, subsequent encounter for fracture with delayed healing
S02.2xxK
Fracture of nasal bones, subsequent encounter for fracture with nonunion
S02.2xxS
Fracture of nasal bones, sequela
527.2 Sialoadenitis
K11.20 Sialoadenitis, unspecified
K11.21 Acute sialoadenitis
K11.22
Acute recurrent sialoadenitis
K11.23
Chronic sialoadenitis
385.30 Cholesteatoma, unspecified
H71.90 Unspecified cholesteatoma, unspecified ear
H71.91 Unspecified cholesteatoma, right ear
H71.92
Unspecified cholesteatoma, left ear
H71.93
Unspecified cholesteatoma, bilateral
H71.00
Cholesteatoma of attic, unspecified ear
H71.01
Cholesteatoma of attic, right ear
H71.02
Cholesteatoma of attic, left ear
H71.03
Cholesteatoma of attic, bilateral
H71.10
Cholesteatoma of tympanum, unspecified ear
H71.11
Cholesteatoma of tympanum, right ear
H71.12
Cholesteatoma of tympanum, left ear
H71.13
Cholesteatoma of tympanum, bilateral
H71.20
Cholesteatoma of mastoid, unspecified ear
H71.21
Cholesteatoma of mastoid, right ear
H71.22
Cholesteatoma of mastoid, left ear
H71.23
Cholesteatoma of mastoid, bilateral
H60.40
Cholesteatoma of external ear, unspecified ear
H60.41
Cholesteatoma of right external ear
H60.42
Cholesteatoma of left external ear
H60.43
Cholesteatoma of external ear, bilateral
471.8 Other polyp of sinus
J33.8 Other polyp of sinus
473.2 Chronic ethmoidal sinusitis
J32.2 Chronic ethmoidal sinusitis

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
530.6 Diverticulum of esophagus, acquired
K22.5 Diverticulum of esophagus, acquired

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
380.21 Cholesteatoma of external ear
H60.40 Cholesteatoma of external ear, unspecified ear
H60.41 Cholesteatoma of right external ear
H60.42
Cholesteatoma of left external ear
H60.43
Cholesteatoma of external ear, bilateral
385.83 Retained foreign body of middle ear
H74.8x1 Other specified disorders of right middle ear and mastoid
H74.8x2 Other specified disorders of left middle ear and mastoid
H74.8x3
Other specified disorders of middle ear and mastoid, bilateral
H74.8x9
Other specified disorders of middle ear and mastoid, unspecified ear
173.40 Malignant neoplasm of scalp and skin of neck
C44.4 Malignant neoplasm of skin of scalp and neck
C44.40 Unspecified malignant neoplasm of skin of scalp and neck
C44.41
Basal cell carcinoma of skin of scalp and neck
C44.42
Squamous cell carcinoma of skin of scalp and neck
C44.49
Other specified malignant neoplasm of skin of scalp and neck
239.7 Neoplasm of endocrine glands and other parts of nervous system, unspecified nature
D49.7 Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
473.0 Chronic maxillary sinusitis
J32.0 Chronic maxillary sinusitis
931 Foreign body in ear
T16.1xxA Foreign body in right ear, initial encounter
T16.1xxD Foreign body in right ear, subsequent encounter
T16.1xxS
Foreign body in right ear, sequela
T16.2xxA
Foreign body in left ear, initial encounter
T16.2xxD
Foreign body in left ear, subsequent encounter
T16.2xxS
Foreign body in left ear, sequela
T16.9xxA
Foreign body in ear, unspecified ear, initial encounter
T16.9xxD
Foreign body in ear, unspecified ear, subsequent encounter
T16.9xxS
Foreign body in ear, unspecified ear, sequela
471.0 Polyp of nasal cavity
J33.0 Polyp of nasal cavity

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
478.26 Cyst of pharynx or nasopharynx
J39.0 Retropharyngeal and parapharyngeal abscess
J39.1 Other abscess of pharynx
J39.2
Other diseases of pharynx
478.4 Polyp of vocal cord or larynx
J38.1 Polyp of vocal cord and larynx

* Use additional code to identify:

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17-)

Tobacco use (Z72.0)
193 Malignant neoplasm of thyroid gland
C76.0 Malignant neoplasm of thyroid gland

** Use additional code to identify any functional activity
195.0 Malignant neoplasm of head, face, and neck
C76.0 Malignant neoplasm of  head, face, and neck
141.9 Malignant neoplasm of tongue, unspecified
C02.9 Malignant neoplasm of tongue, unspecified
C02.0 Malignant neoplasm of dorsal surface of tongue
C02.1
Malignant neoplasm of border of tongue
C02.2
Malignant neoplasm of ventral surface of tongue
C02.3
Malignant neoplasm of anterior two-thirds of tongue, part unspecified
C02.4
Malignant neoplasm of lingual tonsil
C02.8
Malignant neoplasm of overlapping sites of tongue
212.1 Benign neoplasm of larynx
D14.1 Benign neoplasm of larynx
235.0 Neoplasm of uncertain behavior of the major salivary glands
D37.030 Neoplasm of uncertain behavior of the parotid salivary glands
D37.031 Neoplasm of uncertain behavior of the sublingual salivary glands
D37.032
Neoplasm of uncertain behavior of the submandibular salivary glands
D37.039 Neoplasm of uncertain behavior of the major salivary glands, unspecified
787.20 Dysphagia, unspecified
R13.10 Dysphagia, unspecified
R13.11 Dysphagia, oral phase
R13.12
Dysphagia, oropharyngeal phase
R13.13
Dysphagia, pharyngeal phase
R13.14
Dysphagia, pharyngoesophageal phase
R13.19
Other dysphagia