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2008 ICD-9-CM Procedure 19.4 Myringoplasty Surgical reconstruction of the hearing mechanism of the middle ear, with restoration of the drum membrane to protect the round window from sound pressure, and establishment of ossicular continuity between the tympanic membrane and the oval window. (Dorland, 28th ed.) Surgical restoration of a perforated tympanic membrane by grafting. (Dorland, 28th ed.) 19.4 is a specific code that can be used to specify a procedure 19.4 contains 10 index entries View the full ICD-9-CM Volume 3 19.* hierarchy 19.4 also known as: Epitympanic, type I Myringoplasty by: cauterization graft Tympanoplasty (type I) Index entries containing 19.4: Closure -- see also Repair fistula ear drum 19.4 tympanic membrane -- see also Tympanoplasty 19.4 perforation ear drum -- see also Tympanoplasty 19.4 tympanic membrane -- see also Tympanoplasty 19.4 Derlacki operation (tympanoplasty) 19.4 Graft, grafting tympanum -- see also Tympanoplasty 19.4 Myringoplasty (epitympanic, type I) (by cauterization) (by graft) 19.4 revision 19.6 Operation Derlacki (tympanoplasty) 19.4 Tympanoplasty (type I) (with graft) 19.4 with air pocket over round window 19.54 fenestra in semicircular canal 19.55 graft against incus or malleus 19.52 mobile and intact stapes 19.53 incudostapediopexy 19.52 epitympanic, type I 19.4 revision 19.6 type II (graft against incus or malleus) 19.52 III (graft against mobile and intact stapes) 19.53 IV (air pocket over round window) 19.54 V (fenestra in semicircular canal) 19.55