octoHealth

H95.54

Billable

Postprocedural seroma of ear and mastoid process following other procedure

Chapter 8: Diseases of the ear and mastoid process

Additional Information

From parent codes: H00-H59 (Chapter 7)

Excludes 2 — Not Included HereFrom H00-H59

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • diabetes mellitus related eye conditions (E09.3-, E10.3-, E11.3-, E13.3-)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury (trauma) of eye and orbit (S05.-)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • syphilis related eye disorders (A50.01, A50.3-, A51.43, A52.71)
NotesFrom H00-H59

Additional notes from parent codes that apply to this code.

  • Use an external cause code following the code for the eye condition, if applicable, to identify the cause of the eye condition

Inpatient DRG Payments

DRG 9198,121 discharges

Complications Of Treatment With Mcc

Avg. Medicare Payment

$16,740

Total Payment$21,165
Patient Responsibility$4,425
Hospital Charge$97,787
DRG 9205,288 discharges

Complications Of Treatment With Cc

Avg. Medicare Payment

$8,567

Total Payment$11,515
Patient Responsibility$2,948
Hospital Charge$53,720
DRG 92114 discharges

Complications Of Treatment Without Cc/mcc

Avg. Medicare Payment

$4,190

Total Payment$5,609
Patient Responsibility$1,420
Hospital Charge$39,790