2027 ICD-10-CM Diagnosis Code H67.3Otitis media in diseases classified elsewhere, bilateral
ICD-10-CM Codes›H60–H95›H65-H75›H67
- Billable — Valid for Submission
- Not Chronic
H67.3 is a billable ICD-10-CM diagnosis code for otitis media in diseases classified elsewhere, bilateral. 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. The code is a manifestation code that cannot be reported as the principal diagnosis. 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 otitis media in diseases classified elsewhere.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for H67.3.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to H67.3: its own notes plus those printed at H67 and Chapter 8. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
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)
Code First
The underlying condition named in the note is sequenced before this code.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
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 H67.3, its category, or a range that includes it.
Code First 1
These codes say to code first a condition named in the note, and H67.3 is one of the conditions named.
Use Additional Code 1
These codes say to use an additional code from the note, and H67.3 is one of the codes 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 H67.3 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About H67.3Overview
What is the ICD-10 code for otitis media in diseases classified elsewhere, bilateral?
The ICD-10-CM code for otitis media in diseases classified elsewhere, bilateral is H67.3 (sometimes written as H673). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is H67.3 (Otitis media in diseases classified elsewhere) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report otitis media in diseases classified elsewhere, bilateral on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does H67.3 group to?
On inpatient claims, otitis media in diseases classified elsewhere, bilateral maps to MS-DRG 152, 153, with relative weights from 0.7420 to 1.1147 depending on complications. Higher weights mean higher Medicare reimbursement.
Can H67.3 be a principal diagnosis?
No. This is a manifestation code: otitis media in diseases classified elsewhere, bilateral describes the manifestation of an underlying disease rather than the disease itself, so the underlying condition is sequenced first.
Can H67.3 be reported with J09.X9?
Not as a rule. The Excludes1 note at H67, which applies to H67.3, lists "influenza (J09.X9, J10.83, J11.83)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
