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  3. H60–H95
  4. H65-H75
  5. Nonsuppurative otitis media (H65)

Nonsuppurative otitis media (H65)

ICD-10 code H65 covers various forms of nonsuppurative otitis media, which is inflammation of the middle ear without pus. This classification includes acute, chronic, allergic, and unspecified types, allowing detailed coding based on the ear affected (right, left, bilateral, or unspecified) and whether the condition is recurrent.

The ICD-10 code for nonsuppurative otitis media helps medical coders accurately capture conditions like acute serous otitis media (H65.00–H65.07), which is also known as acute non-suppurative serous otitis media. For allergic forms such as acute and subacute allergic otitis media (H65.111–H65.119), terms like allergic otitis media or acute allergic serous otitis media guide precise coding. Chronic variations, including chronic serous (H65.20–H65.23) and chronic mucoid otitis media (H65.30–H65.33), reflect ongoing ear inflammation. Other codes specify recurrent cases or detail the side affected. Choosing the correct ICD-10 code within this section ensures clear documentation of nonsuppurative, non-purulent middle ear inflammations, which might be referred to by commonly used synonyms or descriptions, supporting clearer communication between healthcare providers and billing professionals.

  • Diseases of the ear and mastoid process (H60–H95)

    • Diseases of middle ear and mastoid (H65-H75)

        • Nonsuppurative otitis media (H65)

        • H65 Nonsuppurative otitis media
        • H65.0 Acute serous otitis media
        • H65.00 Acute serous otitis media, unspecified ear
        • H65.01 Acute serous otitis media, right ear
        • H65.02 Acute serous otitis media, left ear
        • H65.03 Acute serous otitis media, bilateral
        • H65.04 Acute serous otitis media, recurrent, right ear
        • H65.05 Acute serous otitis media, recurrent, left ear
        • H65.06 Acute serous otitis media, recurrent, bilateral
        • H65.07 Acute serous otitis media, recurrent, unspecified ear
        • H65.1 Other acute nonsuppurative otitis media
        • H65.11 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous)
        • H65.111 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
        • H65.112 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
        • H65.113 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
        • H65.114 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
        • H65.115 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
        • H65.116 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
        • H65.117 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
        • H65.119 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
        • H65.19 Other acute nonsuppurative otitis media
        • H65.191 Other acute nonsuppurative otitis media, right ear
        • H65.192 Other acute nonsuppurative otitis media, left ear
        • H65.193 Other acute nonsuppurative otitis media, bilateral
        • H65.194 Other acute nonsuppurative otitis media, recurrent, right ear
        • H65.195 Other acute nonsuppurative otitis media, recurrent, left ear
        • H65.196 Other acute nonsuppurative otitis media, recurrent, bilateral
        • H65.197 Other acute nonsuppurative otitis media recurrent, unspecified ear
        • H65.199 Other acute nonsuppurative otitis media, unspecified ear
        • H65.2 Chronic serous otitis media
        • H65.20 Chronic serous otitis media, unspecified ear
        • H65.21 Chronic serous otitis media, right ear
        • H65.22 Chronic serous otitis media, left ear
        • H65.23 Chronic serous otitis media, bilateral
        • H65.3 Chronic mucoid otitis media
        • H65.30 Chronic mucoid otitis media, unspecified ear
        • H65.31 Chronic mucoid otitis media, right ear
        • H65.32 Chronic mucoid otitis media, left ear
        • H65.33 Chronic mucoid otitis media, bilateral
        • H65.4 Other chronic nonsuppurative otitis media
        • H65.41 Chronic allergic otitis media
        • H65.411 Chronic allergic otitis media, right ear
        • H65.412 Chronic allergic otitis media, left ear
        • H65.413 Chronic allergic otitis media, bilateral
        • H65.419 Chronic allergic otitis media, unspecified ear
        • H65.49 Other chronic nonsuppurative otitis media
        • H65.491 Other chronic nonsuppurative otitis media, right ear
        • H65.492 Other chronic nonsuppurative otitis media, left ear
        • H65.493 Other chronic nonsuppurative otitis media, bilateral
        • H65.499 Other chronic nonsuppurative otitis media, unspecified ear
        • H65.9 Unspecified nonsuppurative otitis media
        • H65.90 Unspecified nonsuppurative otitis media, unspecified ear
        • H65.91 Unspecified nonsuppurative otitis media, right ear
        • H65.92 Unspecified nonsuppurative otitis media, left ear
        • H65.93 Unspecified nonsuppurative otitis media, bilateral

Instructional Notations

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • nonsuppurative otitis media with myringitis

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