- ICD-10-CM Codes ›
- H60-H95 ›
- H65-H75 ›
- H66- ›
- 2024 ICD-10-CM Diagnosis Code H66.9
Otitis media, unspecified
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
- H66.9 should not be used for reimbursem*nt purposes as there are multiple codes below it that contain a greater level of detail.
- The 2024 edition of ICD-10-CM H66.9 became effective on October 1, 2023.
- This is the American ICD-10-CM version of H66.9 - other international versions of ICD-10 H66.9 may differ.
Applicable To
- Otitis media NOS
- Acute otitis media NOS
- Chronic otitis media NOS
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.-)- 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...
- H72.2X 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...
- H72.81 Multiple perforations of tympanic membrane
- 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,...
- H72.0 Central perforation of tympanic membrane
- H72 Perforation of tympanic membrane
The following code(s) above H66.9 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 H66.9:
- H60-H95
2024 ICD-10-CM Range H60-H95
Diseases of the ear and mastoid processDiseases of the ear and mastoid process
Note
See AlsoF98.9 – Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence | ICD-10-CMICD-10 code: F98 Other behavioural and emotional disorders with onset usually occurring in childhood and adolescenceICD-10 code: R76.9 Abnormal immunological finding in serum, unspecifiedUnspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence- 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)
- H66
ICD-10-CM Diagnosis Code H66
Suppurative and unspecified otitis mediaSuppurative and unspecified otitis media
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Includes
- suppurative and unspecified otitis media with myringitis
Use Additional
- code to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Clinical Information
- A disorder characterized by inflammation (physiologic response to irritation), swelling and redness to the middle ear.
- An acute or chronic inflammatory process affecting the middle ear.
- Inflammation of the middle ear including the auditory ossicles and the eustachian tube.
- Inflammation of the middle ear.
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
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
- 2024 (effective 10/1/2023): No change
Code annotations containing back-references to H66.9:
- Code First: H72
ICD-10-CM Diagnosis Code H72
Perforation of tympanic membrane
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Code First
- any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)
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: H65.1
ICD-10-CM Diagnosis Code H65.1
Other acute nonsuppurative otitis media
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
Type 1 Excludes
- otitic barotrauma (T70.0)
- otitis media (acute) NOS (H66.9)
Diagnosis Index entries containing back-references to H66.9:
- Otitis (acute) H66.90
ICD-10-CM Diagnosis Code H66.90
Otitis media, unspecified, unspecified ear
- 2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code
ICD-10-CM Codes Adjacent To H66.9
H66.3X Other chronic suppurative otitis media
H66.3X1 …… right ear
H66.3X2 …… left ear
H66.3X3 …… bilateral
H66.3X9 …… unspecified ear
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
Reimbursem*nt claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.