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ICD-10-CM 2027

ICD-10 code for osseous meatus ear absence

Q16.4

Other congenital malformations of middle ear

✓ Billable / specific

From the official ICD-10-CM alphabetic index entry “Absence (of) (organ or part) (complete or partial) › osseous meatus (ear)”. Page updated September 29, 2026.

About coding osseous meatus ear absence

The ICD-10-CM code for osseous meatus ear absence is Q16.4 (Other congenital malformations of middle ear).

Within Q16, choose Q16.4 (Other congenital malformations of middle ear) only when documentation doesn't support a more specific option: congenital absence of (ear) auricle (Q16.0), congenital absence, atresia and stricture of auditory canal (external) (Q16.1), absence of eustachian tube (Q16.2), congenital malformation of ear ossicles (Q16.3), congenital malformation of inner ear (Q16.5) and congenital malformation of ear causing impairment of hearing, unspecified (Q16.9).

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 154 (Other Ear, Nose, Mouth and Throat Diagnoses with MCC, relative weight 1.5921), DRG 155 (Other Ear, Nose, Mouth and Throat Diagnoses with CC, relative weight 0.9322) and DRG 156 (Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC, relative weight 0.6659), in MDC 03 (Diseases and Disorders of the Ear, Nose, Mouth and Throat), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

Common questions about osseous meatus ear absence ICD-10 codes

What is the ICD-10 code for osseous meatus ear absence?

Q16.4 — Other congenital malformations of middle ear.

Is Q16.4 billable?

Yes. Q16.4 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Q16.4 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Q16.4 as a principal diagnosis.

Is Q16.4 a CC or MCC?

No. Q16.4 is neither a CC nor an MCC under MS-DRG v44.0.