Coding and coverage · ICD-10-CM

H67

H67.9 Otitis media in diseases classified elsewhere, unspecified ear

BillableNo payment HCCChapter 8
Check coverage with this diagnosis

Instructional notes

Chapter 8

Excludes2Not included here: the patient may have both; report both when both are present.
  • 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)
Notes
  • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition

H67

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
Code firstSequence the underlying condition first.
  • underlying disease, such as:
  • plasminogen deficiency (E88.02)
  • viral disease NEC (B00-B34)
Use additional codeAdd a second code for the full picture.
  • code for any associated perforated tympanic membrane (H72.-)

Chapter 8: Diseases of the ear and mastoid process · H65-H75 Diseases of middle ear and mastoid (H65-H75)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.