H65.0UpcomingCategory · further specificity required

Acute serous otitis media

H65 · Inherited 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

H65.00Acute serous otitis media, unspecified ear H65.01Acute serous otitis media, right ear H65.02Acute serous otitis media, left ear H65.03Acute serous otitis media, bilateral H65.04Acute serous otitis media, recurrent, right ear H65.05Acute serous otitis media, recurrent, left ear H65.06Acute serous otitis media, recurrent, bilateral H65.07Acute serous otitis media, recurrent, unspecified ear

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

Inherited rules changed

Acute serous 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	Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	Inherited 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

Inclusion terms

Acute and subacute secretory otitis

Inherited instructions

H65 · Nonsuppurative otitis media

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)

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)

Otitis(acute) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
H65.1	Other acute nonsuppurative otitis media	Category · further specificity required
H65.2	Chronic serous otitis media	Category · further specificity required
H65.3	Chronic mucoid otitis media	Category · further specificity required
H65.4	Other chronic nonsuppurative otitis media	Category · further specificity required
H65.9	Unspecified nonsuppurative otitis media	Category · further specificity required

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

H65.0UpcomingCategory · further specificity required

Acute serous otitis media

H65 · Inherited 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

Inherited rules changed

Acute serous 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	Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	Inherited 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

Inclusion terms

Acute and subacute secretory otitis

Inherited instructions

H65 · Nonsuppurative otitis media

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)

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)

Otitis(acute) (2)

Related codes

Other entries in the same category; these are not automatic substitutes.

Code	Description	Category · further specificity required
H65.1	Other acute nonsuppurative otitis media	Category · further specificity required
H65.2	Chronic serous otitis media	Category · further specificity required
H65.3	Chronic mucoid otitis media	Category · further specificity required
H65.4	Other chronic nonsuppurative otitis media	Category · further specificity required
H65.9	Unspecified nonsuppurative otitis media	Category · further specificity required

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