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    OpenPayerBilling CodesDiseases of middle ear and mastoidICD-10-CM h67-otitis-media-in-diseases-classified-elsewhere
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    ICD-10-CM Code For Otitis Media In Diseases Classified Elsewhere: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group H67 includes otitis media that occurs as part of or because of other diseases classified elsewhere, covering middle ear inflammation associated with systemic or specified primary conditions. These ICD-10-CM diagnosis codes are used to document clinical scenarios where otitis media is secondary to another condition, capturing the relationship between the ear disease and the underlying disorder, disease severity, laterality, and any complications. Accurate coding within the ICD-10-CM H67 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM H67: Otitis Media In Diseases Classified Elsewhere Overview

    This group covers otitis media occurring as a manifestation of underlying systemic or other specified diseases classified elsewhere, affecting the middle ear and related structures. It targets middle ear inflammation linked to external disease etiologies and highlights the need to capture both the ear condition and the primary disorder. Accurate coding matters for complete clinical documentation and appropriate reimbursement because it links the otitis media to the underlying diagnosis.

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    When to Use

    Use a code from this group when clinical documentation indicates that otitis media is a manifestation of or directly related to another specified disease classified elsewhere. Select codes that reflect the acuity, laterality, and any complications, and ensure the underlying primary disorder is also coded per coding guidelines.

    ICD-10-CM Codes

    4 rows

    ICD-10-CM CodeDescription
    H67.1Otitis media in diseases classified elsewhere, right ear
    H67.2Otitis media in diseases classified elsewhere, left ear
    H67.3Otitis media in diseases classified elsewhere, bilateral
    H67.9Otitis media in diseases classified elsewhere, unspecified ear

    DRG Codes

    2 rows

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

    Typical Clinical Scenarios

    • A 6-month-old infant presents to urgent care with sudden onset fever, ear tugging, irritability, and poor feeding after a recent upper respiratory viral illness. Otoscopic exam shows a bulging, erythematous tympanic membrane with purulent middle ear effusion consistent with acute otitis media localized to the middle ear space associated with a separate nasopharyngeal or systemic condition; a code from this group is assigned when the otitis media is documented as occurring in diseases classified elsewhere. Typical codes: H67.1, H67.3
    • A 45-year-old patient with chronic rhinosinusitis and Eustachian tube dysfunction reports intermittent aural fullness, conductive hearing loss, and recurrent episodes of middle ear inflammation over several months despite medical management. Tympanometry demonstrates middle ear effusion and otoscopic findings compatible with non-acute, recurrent or persistent middle ear involvement secondary to the underlying nasopharyngeal disease; a code from this group is used to indicate otitis media attributed to the other chronic condition. Typical codes: H67.2, H67.9
    • An adult admitted for treatment of a head and neck malignancy develops purulent otorrhea and worsening ear pain during radiation therapy, with exam and imaging confirming middle ear infection complicating the primary oncologic disease process. Because the middle ear infection is occurring in the setting of another classified disease (the malignancy and its treatment), a code from this group is assigned to capture the otitis media as part of that comorbidity. Typical codes: H67.3, H67.9

    Related Codes

    H65-NONSUPPURATIVE-OTITIS-MEDIA

    ICD-10-CM Code For Nonsuppurative Otitis Media: Group Overview

    H66-SUPPURATIVE-AND-UNSPECIFIED-OTITIS-MEDIA

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