Otitis media in diseases classified elsewhere (H67)
Instructional Notations
Code First
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.
Use Additional Code
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
- code for any associated perforated tympanic membrane H72
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Diseases of the ear and mastoid process (H60–H95)
Diseases of middle ear and mastoid (H65-H75)
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
Otitis media in diseases classified elsewhere (H67)