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    v1.0.28
    OpenPayerBilling CodesDiseases of middle ear and mastoidICD-10-CM h65-nonsuppurative-otitis-media
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    ICD-10-CM Code For Nonsuppurative Otitis Media: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H65 includes nonsuppurative forms of otitis media such as serous otitis media, adhesive otitis media, and chronic nonpurulent middle ear inflammation that affect the middle ear and eustachian tube. These ICD-10-CM diagnosis codes are used to document clinical scenarios including persistent or recurrent middle ear effusion, conductive hearing changes, or adhesive changes of the tympanic membrane, capturing disease severity and anatomic involvement. Accurate coding within the ICD-10-CM H65 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM H65: Nonsuppurative Otitis Media Overview

    The ICD-10-CM H65 code group represents nonsuppurative inflammation of the middle ear, including serous, adhesive, and chronic nonpurulent otitis media subtypes. These conditions affect the middle ear and eustachian tube, often resulting in hearing changes and ear fullness. Accurate coding matters because it supports clinical documentation, appropriate claim adjudication, and reflects disease complexity relevant to reimbursement.

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    When to Use

    Use a code from this group when clinical documentation indicates middle ear effusion or nonsuppurative inflammation without purulent infection, such as serous otitis media or adhesive otitis media. Select the most specific code that reflects laterality, chronicity, and the documented subtype to support accurate clinical records and billing.

    ICD-10-CM Codes

    44 rows

    ICD-10-CM CodeDescription
    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
    H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
    H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
    H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
    H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
    H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
    H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
    H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
    H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
    H65.191Other acute nonsuppurative otitis media, right ear
    H65.192Other acute nonsuppurative otitis media, left ear
    H65.193Other acute nonsuppurative otitis media, bilateral
    H65.194Other acute nonsuppurative otitis media, recurrent, right ear

    Showing 1–20 of 44

    DRG Codes

    2 rows

    DRG CodeDescription
    152Otitis Media and URI with MCC
    153Otitis Media and URI without MCC

    Typical Clinical Scenarios

    • A toddler presents to urgent care with a 2-day history of ear pain, low-grade fever, and irritability after a recent upper respiratory infection; otoscopic exam shows a bulging, erythematous tympanic membrane with middle ear effusion but no perforation, consistent with an acute nonsuppurative otitis media and prompting short-term symptomatic treatment. Typical codes: H65.01, H65.02
    • An adult patient with a history of recurrent ear congestion over several months reports persistent aural fullness and intermittent conductive hearing loss; pneumatic otoscopy and tympanometry demonstrate chronic middle ear effusion without signs of acute infection, indicating chronic nonsuppurative otitis media requiring ongoing monitoring and possible referral. Typical codes: H65.20, H65.22
    • A school-age child evaluated in primary care for persistent unilateral hearing difficulty following multiple prior acute ear infections; exam shows adhesive changes and serous effusion of the middle ear with retracted tympanic membrane and no purulent discharge, representing a complication of prior non-suppurative otitis media affecting hearing and development. Typical codes: H65.411, H65.419

    Related Codes

    H66-SUPPURATIVE-AND-UNSPECIFIED-OTITIS-MEDIA

    ICD-10-CM Code For Suppurative And Unspecified Otitis Media: Group Overview

    H67-OTITIS-MEDIA-IN-DISEASES-CLASSIFIED-ELSEWHERE

    ICD-10-CM Code For Otitis Media In Diseases Classified Elsewhere: Group Overview

    H68-EUSTACHIAN-SALPINGITIS-AND-OBSTRUCTION

    ICD-10-CM Code For Eustachian Salpingitis And Obstruction: Group Overview

    H69-OTHER-AND-UNSPECIFIED-EUSTACHIAN-TUBE

    ICD-10-CM Code For Other And Unspecified Disorders Of Eustachian Tube: Group Overview

    H70-MASTOIDITIS-AND-RELATED-CONDITIONS

    ICD-10-CM Code For Mastoiditis And Related Conditions: Group Overview

    H71-CHOLESTEATOMA-OF-MIDDLE-EAR

    ICD-10-CM Code For Cholesteatoma Of Middle Ear: Group Overview

    H72-PERFORATION-OF-TYMPANIC-MEMBRANE

    ICD-10-CM Code For Perforation Of Tympanic Membrane: Group Overview

    H73-OTHER-DISORDERS-OF-TYMPANIC-MEMBRANE

    ICD-10-CM Code For Other Disorders Of Tympanic Membrane: Group Overview

    H74-OTHER-DISORDERS-MIDDLE-EAR-MASTOID

    ICD-10-CM Code For Other Disorders Of Middle Ear Mastoid: Group Overview

    H75-OTHER-MIDDLE-EAR-DISORDERS

    ICD-10-CM Code For Other Disorders Of Middle Ear And Mastoid In Diseases Classified Elsewhere: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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