2022 ICD-10-CM Code H65.116
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
Valid for Submission
| ICD-10: | H65.116 |
| Short Description: | Acute and subacute allergic otitis media (serous), recur, bi |
| Long Description: | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral |
Code Classification
H65.116 is a billable diagnosis code used to specify a medical diagnosis of acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral. The code H65.116 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H65.116 might also be used to specify conditions or terms like acute recurrent allergic otitis media of bilateral middle ears, recurrent acute otitis media of bilateral ears, recurrent acute otitis media of left ear or recurrent acute otitis media of right ear.
The code is commonly used in pediatrics medical specialties to specify clinical concepts such as other acute nonsuppurative otitis media.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Acute recurrent allergic otitis media of bilateral middle ears
- Recurrent acute otitis media of bilateral ears
- Recurrent acute otitis media of left ear
- Recurrent acute otitis media of right ear
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code H65.116 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 152 | OTITIS MEDIA AND URI WITH MCC | 03 | 1.0769 |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | 03 | 0.7106 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert H65.116 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H65.116 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Ear Infections
Ear infections are the most common reason parents bring their child to a doctor. Three out of four children will have at least one ear infection by their third birthday. Adults can also get ear infections, but they are less common.
The infection usually affects the middle ear and is called otitis media. The tubes inside the ears become clogged with fluid and mucus. This can affect hearing, because sound cannot get through all that fluid.
If your child isn't old enough to say "My ear hurts," here are a few things to look for
- Tugging at ears
- Crying more than usual
- Fluid draining from the ear
- Trouble sleeping
- Balance difficulties
- Hearing problems
Your health care provider will diagnose an ear infection by looking inside the ear with an instrument called an otoscope.
Often, ear infections go away on their own. Your health care provider may recommend pain relievers. Severe infections and infections in young babies may require antibiotics.
Children who get infections often may need surgery to place small tubes inside their ears. The tubes relieve pressure in the ears so that the child can hear again.
NIH: National Institute on Deafness and Other Communication Disorders
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)