2017/18 ICD-10-CM Diagnosis Code H67

Otitis media in diseases classified elsewhere

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for any associated perforated tympanic membrane (
    ICD-10-CM Diagnosis Code H72
    • H72 Perforation of tympanic membrane
      • H72.0 Central perforation of tympanic membrane
        • H72.00 Central perforation of tympanic membrane, uns...
        • H72.01 Central perforation of tympanic membrane, rig...
        • H72.02 Central perforation of tympanic membrane, lef...
        • H72.03 Central perforation of tympanic membrane, bil...
      • H72.1 Attic perforation of tympanic membrane
        • H72.10 Attic perforation of tympanic membrane, unspe...
        • H72.11 Attic perforation of tympanic membrane, right...
        • H72.12 Attic perforation of tympanic membrane, left ...
        • H72.13 Attic perforation of tympanic membrane, bilat...
      • H72.2 Other marginal perforations of tympanic membr...
        • H72.2X Other marginal perforations of tympanic membr...
          • H72.2X1 Other marginal perforations of tympanic membr...
          • H72.2X2 Other marginal perforations of tympanic membr...
          • H72.2X3 Other marginal perforations of tympanic membr...
          • H72.2X9 Other marginal perforations of tympanic membr...
      • H72.8 Other perforations of tympanic membrane
        • H72.81 Multiple perforations of tympanic membrane
          • H72.811 Multiple perforations of tympanic membrane, r...
          • H72.812 Multiple perforations of tympanic membrane, l...
          • H72.813 Multiple perforations of tympanic membrane, b...
          • H72.819 Multiple perforations of tympanic membrane, u...
        • H72.82 Total perforations of tympanic membrane
          • H72.821 Total perforations of tympanic membrane, righ...
          • H72.822 Total perforations of tympanic membrane, left...
          • H72.823 Total perforations of tympanic membrane, bila...
          • H72.829 Total perforations of tympanic membrane, unsp...
      • H72.9 Unspecified perforation of tympanic membrane
        • H72.90 Unspecified perforation of tympanic membrane,...
        • H72.91 Unspecified perforation of tympanic membrane,...
        • H72.92 Unspecified perforation of tympanic membrane,...
        • H72.93 Unspecified perforation of tympanic membrane,...
    H72.-
    )
Code First
Code First Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • underlying disease, such as:
  • viral disease NEC (
    ICD-10-CM Diagnosis Code B00

    Herpesviral [herpes simplex] infections

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • congenital herpesviral infections (P35.2)
    Type 2 Excludes
    • anogenital herpesviral infection (A60.-)
    • gammaherpesviral mononucleosis (B27.0-)
    • herpangina (B08.5)
    B00
    -
    ICD-10-CM Diagnosis Code B34

    Viral infection of unspecified site

      2016 2017 2018 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • anogenital human papillomavirus infection (A63.0)
    • cytomegaloviral disease NOS (B25.9)
    • herpesvirus [herpes simplex] infection NOS (B00.9)
    • retrovirus infection NOS (B33.3)
    • viral agents as the cause of diseases classified elsewhere (B97.-)
    • viral warts due to human papillomavirus infection (B07)
    B34
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as H67. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • otitis media in:
  • influenza (
    ICD-10-CM Diagnosis Code J09.X9

    Influenza due to identified novel influenza A virus with other manifestations

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus with encephalopathy
    • Influenza due to identified novel influenza A virus with myocarditis
    • Influenza due to identified novel influenza A virus with otitis media
    Use Additional
    • code to identify manifestation
    J09.X9
    ,
    ICD-10-CM Diagnosis Code J10.83

    Influenza due to other identified influenza virus with otitis media

      2016 2017 2018 Billable/Specific Code
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    J10.83
    ,
    ICD-10-CM Diagnosis Code J11.83

    Influenza due to unidentified influenza virus with otitis media

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Influenzal otitis media NOS
    Use Additional
    • code for any associated perforated tympanic membrane (H72.-)
    J11.83
    )
  • measles (
    ICD-10-CM Diagnosis Code B05.3

    Measles complicated by otitis media

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Postmeasles otitis media
    B05.3
    )
  • scarlet fever (
    ICD-10-CM Diagnosis Code A38.0

    Scarlet fever with otitis media

      2016 2017 2018 Billable/Specific Code
    A38.0
    )
  • tuberculosis (
    ICD-10-CM Diagnosis Code A18.6

    Tuberculosis of (inner) (middle) ear

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Tuberculous otitis media
    Type 2 Excludes
    • tuberculosis of external ear (A18.4)
    • tuberculous mastoiditis (A18.03)
    A18.6
    )
The following code(s) above H67 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H67:
  • H60-H95
    2018 ICD-10-CM Range H60-H95

    Diseases of the ear and mastoid process

    Note
    • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition
    Type 2 Excludes
    • 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)
    Diseases of the ear and mastoid process
Code History
Code annotations containing back-references to H67:
ICD-10-CM Codes Adjacent To H67
H66.4 Suppurative otitis media, unspecified
H66.40 …… unspecified ear
H66.41 …… right ear
H66.42 …… left ear
H66.43 …… bilateral
H66.9 Otitis media, unspecified
H66.90 …… unspecified ear
H66.91 …… right ear
H66.92 …… left ear
H66.93 …… bilateral
H67 Otitis media in diseases classified elsewhere
H67.1 Otitis media in diseases classified elsewhere, right ear
H67.2 Otitis media in diseases classified elsewhere, left ear
H67.3 Otitis media in diseases classified elsewhere, bilateral
H67.9 Otitis media in diseases classified elsewhere, unspecified ear
H68 Eustachian salpingitis and obstruction
H68.0 Eustachian salpingitis
H68.00 Unspecified Eustachian salpingitis
H68.001 …… right ear
H68.002 …… left ear
H68.003 …… bilateral

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.