2027 ICD-10-CM Diagnosis Code H65.499Other chronic nonsuppurative otitis media, unspecified ear
ICD-10-CM Codes›H60–H95›H65-H75›H65
- Billable — Valid for Submission
- Chronic Condition
H65.499 is a billable ICD-10-CM diagnosis code for other chronic nonsuppurative otitis media, unspecified ear. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 152 through 153. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Otitis media.
This medical diagnosis code is frequently used in Pediatrics medical specialties to designate conditions such other chronic nonsuppurative otitis media.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Atelectasis of tympanic membrane due to chronic otitis media with effusion
- Atrophy of ear
- Chronic exudative otitis media
- Chronic mucoid otitis media
- Chronic non-suppurative otitis media
- Chronic non-suppurative otitis media without effusion
- Chronic otitis media with effusion
- Chronic otitis media with sanguineous effusion
- Chronic transudative otitis media
- Exudative otitis media
- Mucosanguinous chronic otitis media
- Otitis media with sanguineous effusion
- Retraction of tympanic membrane
- Transudative otitis media
- Tympanic atelectasis
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H65.499: its own notes plus those printed at H65 and Chapter 8. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- nonsuppurative otitis media with myringitis
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code for any associated perforated tympanic membrane (H72.-)
- code, if applicable, 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)
- infectious agent (B95-B97)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Notes
General instructions on how these codes are used.
- Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name H65.499, its category, or a range that includes it.
Excludes1 2
These codes carry an Excludes1 note naming H65.499: they are not reported together with it, unless the two conditions are unrelated.
Code First 2
These codes say to code first a condition named in the note, and H65.499 is one of the conditions named.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert H65.499 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H65.499Overview
What is the ICD-10 code for other chronic nonsuppurative otitis media, unspecified ear?
The ICD-10-CM code for other chronic nonsuppurative otitis media, unspecified ear is H65.499 (sometimes written as H65499). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H65.499 (Other chronic nonsuppurative otitis media) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other chronic nonsuppurative otitis media, unspecified ear on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H65.499 group to?
When other chronic nonsuppurative otitis media, unspecified ear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 152, 153, with relative weights from 0.7420 to 1.1147 depending on complications. Higher weights mean higher Medicare reimbursement.
Does H65.499 need an additional code?
When the condition applies, yes. The Use Additional Code note at H65, which applies to H65.499, reads: code for any associated perforated tympanic membrane (H72.-); code, if applicable, 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); and 4 more listed in the Instructional Notes section. The additional code is reported after H65.499.
What is the ICD-9 equivalent of H65.499?
Under the General Equivalence Mappings, other chronic nonsuppurative otitis media, unspecified ear converts to ICD-9-CM 381.3 (chr nonsup OM NOS/NEC). The mapping is approximate, so confirm the match fits the documentation.
