2026 ICD-10-CM Diagnosis Code H66.019Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear
ICD-10-CM Codes›H60–H95›H65-H75›H66
- Billable — Valid for Submission
- Not Chronic
H66.019 is a billable ICD-10-CM diagnosis code for acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 152 through 153. Coders also document this condition as acute suppurative otitis media with spontaneous rupture of ear drum. 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 acute suppurative otitis media.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Acute suppurative otitis media with spontaneous rupture of ear drum
- Perforation of tympanic membrane due to otitis media
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
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Convert H66.019 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H66.019Overview
Is H66.019 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does H66.019 group to?
When acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear is the principal diagnosis on an inpatient stay, it groups to MS-DRG 152, 153, with relative weights from 0.7382 to 1.1822 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of H66.019?
Under the General Equivalence Mappings, acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear converts to ICD-9-CM 382.01 (ac supp OM w drum rupt). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
