2021 ICD-10-CM Diagnosis Code H65

Nonsuppurative otitis media

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • H65 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM H65 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of H65 - other international versions of ICD-10 H65 may differ.
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.-
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • nonsuppurative otitis media with myringitis
The following code(s) above H65 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 H65:
  • H60-H95
    2021 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
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to H65:
  • Code First: B97.4
    , H72
    ICD-10-CM Diagnosis Code B97.4

    Respiratory syncytial virus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • RSV as the cause of diseases classified elsewhere
    Code First
    • related disorders, such as:
    • otitis media (H65.-)
    • upper respiratory infection (J06.9)
    Type 2 Excludes
    • acute bronchiolitis due to respiratory syncytial virus (RSV) (J21.0)
    • acute bronchitis due to respiratory syncytial virus (RSV) (J20.5)
    • respiratory syncytial virus (RSV) pneumonia (J12.1)
    ICD-10-CM Diagnosis Code H72

    Perforation of tympanic membrane

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Code First
    Includes
    • persistent post-traumatic perforation of ear drum
    • postinflammatory perforation of ear drum
    Type 1 Excludes
    • acute suppurative otitis media with rupture of the tympanic membrane (H66.01-)
    • traumatic rupture of ear drum (S09.2-)
  • Type 1 Excludes: H73.0
    , H73.1
    ICD-10-CM Diagnosis Code H73.0

    Acute myringitis

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute myringitis with otitis media (H65, H66)
    ICD-10-CM Diagnosis Code H73.1

    Chronic myringitis

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic tympanitis
    Type 1 Excludes
    • chronic myringitis with otitis media (H65, H66)
ICD-10-CM Codes Adjacent To H65
H62.40 …… unspecified ear
H62.41 …… right ear
H62.42 …… left ear
H62.43 …… bilateral
H62.8 Other disorders of external ear in diseases classified elsewhere
H62.8X Other disorders of external ear in diseases classified elsewhere
H62.8X1 Other disorders of right external ear in diseases classified elsewhere
H62.8X2 Other disorders of left external ear in diseases classified elsewhere
H62.8X3 …… bilateral
H62.8X9 …… unspecified ear
H65 Nonsuppurative otitis media
H65.0 Acute serous otitis media
H65.00 …… unspecified ear
H65.01 …… right ear
H65.02 …… left ear
H65.03 …… bilateral
H65.04 …… recurrent, right ear
H65.05 …… recurrent, left ear
H65.06 …… recurrent, bilateral
H65.07 …… recurrent, unspecified ear
H65.1 Other acute nonsuppurative otitis media

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