H65UpcomingCategory · further specificity required

Nonsuppurative otitis media

Code-level instructions

Use additional code

code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
infectious agent (B95-B97)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Excludes 2 · 8

Chapters 8 · Diseases of the ear and mastoid process (H60-H95)

Excludes 2

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)
endocrine, nutritional and metabolic diseases (E00-E88)
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)

More specific codes

H65.0Acute serous otitis media H65.1Other acute nonsuppurative otitis media H65.2Chronic serous otitis media H65.3Chronic mucoid otitis media H65.4Other chronic nonsuppurative otitis media H65.9Unspecified nonsuppurative otitis media

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2020

ChangedUnchanged

FY2020

Effective from 2019-10-01

Code-level rules changed

Nonsuppurative otitis media

Category — select a more specific code

CDC/NCHS · FY2020

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Code-level rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	Code-level rules changed
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Includes

nonsuppurative otitis media with myringitis

Use additional code

code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
infectious agent (B95-B97)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Inherited instructions

Chapters 8 · Diseases of the ear and mastoid process (H60-H95)

Excludes 2

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)
endocrine, nutritional and metabolic diseases (E00-E88)
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)

Note

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

More specific codes

H65.0Acute serous otitis mediaCategory · further specificity required H65.1Other acute nonsuppurative otitis mediaCategory · further specificity required H65.2Chronic serous otitis mediaCategory · further specificity required H65.3Chronic mucoid otitis mediaCategory · further specificity required H65.4Other chronic nonsuppurative otitis mediaCategory · further specificity required H65.9Unspecified nonsuppurative otitis mediaCategory · further specificity required

Official index references (2)

Infection, infected, infective(opportunistic) (1)

Infection, infected, infective(opportunistic) › virus, viral NOS › respiratory syncytial(RSV) › otitis mediaDisease index

Virus, viral (1)

Virus, viral › respiratory syncytial(RSV) › otitis mediaDisease index

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (4)

B97.4 · Respiratory syncytial virus as the cause of diseases classified elsewhere

Code first · otitis media (H65.-)

H72 · Perforation of tympanic membrane

Code first · any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)

H73.0 · Acute myringitis

Excludes 1 · acute myringitis with otitis media (H65, H66)

H73.1 · Chronic myringitis

Excludes 1 · chronic myringitis with otitis media (H65, H66)

H65UpcomingCategory · further specificity required

Nonsuppurative otitis media

Code-level instructions

Use additional code

code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
infectious agent (B95-B97)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Excludes 2 · 8

Chapters 8 · Diseases of the ear and mastoid process (H60-H95)

Excludes 2

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)
endocrine, nutritional and metabolic diseases (E00-E88)
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)

More specific codes

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2020

ChangedUnchanged

FY2020

Effective from 2019-10-01

Code-level rules changed

Nonsuppurative otitis media

Category — select a more specific code

CDC/NCHS · FY2020

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Code-level rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	Code-level rules changed
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Includes

nonsuppurative otitis media with myringitis

Use additional code

code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
infectious agent (B95-B97)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Inherited instructions

Chapters 8 · Diseases of the ear and mastoid process (H60-H95)

Excludes 2

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)
endocrine, nutritional and metabolic diseases (E00-E88)
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)

Note

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

More specific codes

Official index references (2)

Infection, infected, infective(opportunistic) (1)

Infection, infected, infective(opportunistic) › virus, viral NOS › respiratory syncytial(RSV) › otitis mediaDisease index

Virus, viral (1)

Virus, viral › respiratory syncytial(RSV) › otitis mediaDisease index

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (4)

B97.4 · Respiratory syncytial virus as the cause of diseases classified elsewhere

Code first · otitis media (H65.-)

H72 · Perforation of tympanic membrane

Code first · any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)

H73.0 · Acute myringitis

Excludes 1 · acute myringitis with otitis media (H65, H66)

H73.1 · Chronic myringitis

Excludes 1 · chronic myringitis with otitis media (H65, H66)