1. Home
  2. ICD-10-CM MS-DRG V42.0
  3. Diagnosis Codes in MS-DRG 152 - Otitis Media And URI With MCC

Diagnosis Codes in MS-DRG 152 - Otitis Media And URI With MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the diagnosis codes included in MS-DRG V42.0: Otitis Media and URI with MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 152

MS-DRG Title: Otitis Media and URI with MCC

MCD: 03

Relative Weight: 1.1347 Relative Weight
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.

Geometric LOS: 1.13 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: 3.20 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  1. A54 - Gonococcal infection
  2. A56 - Other sexually transmitted chlamydial diseases
  3. A69 - Other spirochetal infections
  4. B05 - Measles
  5. B08 - Other viral infections characterized by skin and mucou
  6. H61.00 - Unspecified perichondritis of external ear
  7. H65.0 - Acute serous otitis media
  8. H65.11 - Acute and subacute allergic otitis media (mucoid) (
  9. H65.19 - Other acute nonsuppurative otitis media
  10. H65.2 - Chronic serous otitis media
  11. H65.3 - Chronic mucoid otitis media
  12. H65.41 - Chronic allergic otitis media
  13. H65.49 - Other chronic nonsuppurative otitis media
  14. H65.9 - Unspecified nonsuppurative otitis media
  15. H66.00 - Acute suppurative otitis media without spontaneous
  16. H66.01 - Acute suppurative otitis media with spontaneous rup
  17. H66.1 - Chronic tubotympanic suppurative otitis media
  18. H66.2 - Chronic atticoantral suppurative otitis media
  19. H66.3X - Other chronic suppurative otitis media
  20. H66.4 - Suppurative otitis media, unspecified
  21. H66.9 - Otitis media, unspecified
  22. H67 - Otitis media in diseases classified elsewhere
  23. H68.00 - Unspecified Eustachian salpingitis
  24. H68.01 - Acute Eustachian salpingitis
  25. H68.02 - Chronic Eustachian salpingitis
  26. H70.00 - Acute mastoiditis without complications
  27. H70.01 - Subperiosteal abscess of mastoid
  28. H70.09 - Acute mastoiditis with other complications
  29. H70.1 - Chronic mastoiditis
  30. H70.20 - Unspecified petrositis
  31. H70.21 - Acute petrositis
  32. H70.22 - Chronic petrositis
  33. H70.9 - Unspecified mastoiditis
  34. H73.00 - Unspecified acute myringitis
  35. H73.01 - Bullous myringitis
  36. H73.09 - Other acute myringitis
  37. H73.1 - Chronic myringitis
  38. H73.2 - Unspecified myringitis
  39. J01.0 - Acute maxillary sinusitis
  40. J01.1 - Acute frontal sinusitis
  41. J01.2 - Acute ethmoidal sinusitis
  42. J01.3 - Acute sphenoidal sinusitis
  43. J01.4 - Acute pansinusitis
  44. J01.8 - Other acute sinusitis
  45. J01.9 - Acute sinusitis, unspecified
  46. J02 - Acute pharyngitis
  47. J03.0 - Streptococcal tonsillitis
  48. J03.8 - Acute tonsillitis due to other specified organisms
  49. J03.9 - Acute tonsillitis, unspecified
  50. J04 - Acute laryngitis and tracheitis
  51. J04.3 - Supraglottitis, unspecified
  52. J05 - Acute obstructive laryngitis [croup] and epiglottitis
  53. J05.1 - Acute epiglottitis
  54. J06 - Acute upper respiratory infections of multiple and uns
  55. J11 - Influenza due to unidentified influenza virus
  56. J30 - Vasomotor and allergic rhinitis
  57. J30.8 - Other allergic rhinitis
  58. J31 - Chronic rhinitis, nasopharyngitis and pharyngitis
  59. J32 - Chronic sinusitis
  60. J35.0 - Chronic tonsillitis and adenoiditis
  61. J37 - Chronic laryngitis and laryngotracheitis
  62. J39 - Other diseases of upper respiratory tract
  63. T70.0 - Otitic barotrauma
  64. T70.1 - Sinus barotrauma

  • -

    • J00 - Acute nasopharyngitis [common cold]

    • J36 - Peritonsillar abscess

  • A54 - Gonococcal infection

    • A54.5 - Gonococcal pharyngitis

  • A56 - Other sexually transmitted chlamydial diseases

    • A56.4 - Chlamydial infection of pharynx

  • A69 - Other spirochetal infections

    • A69.1 - Other Vincent's infections

  • B05 - Measles

    • B05.3 - Measles complicated by otitis media

  • B08 - Other viral infections characterized by skin and mucous membrane lesions, not elsewhere classified

    • B08.5 - Enteroviral vesicular pharyngitis

  • H61.00 - Unspecified perichondritis of external ear

    • H61.001 - Unspecified perichondritis of right external ear

    • H61.002 - Unspecified perichondritis of left external ear

    • H61.003 - Unspecified perichondritis of external ear, bilateral

    • H61.009 - Unspecified perichondritis of external ear, unspecified ear

  • 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

  • H65.11 - 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

  • H65.41 - 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

  • H66.00 - Acute suppurative otitis media without spontaneous rupture of ear drum

    • H66.001 - Acute suppurative otitis media without spontaneous rupture of ear drum, right ear

    • H66.002 - Acute suppurative otitis media without spontaneous rupture of ear drum, left ear

    • H66.003 - Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral

    • H66.004 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

    • H66.005 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear

    • H66.006 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral

    • H66.007 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear

    • H66.009 - Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear

  • H66.01 - Acute suppurative otitis media with spontaneous rupture of ear drum

    • H66.011 - Acute suppurative otitis media with spontaneous rupture of ear drum, right ear

    • H66.012 - Acute suppurative otitis media with spontaneous rupture of ear drum, left ear

    • H66.013 - Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral

    • H66.014 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear

    • H66.015 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear

    • H66.016 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral

    • H66.017 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear

    • H66.019 - Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear

  • H66.1 - Chronic tubotympanic suppurative otitis media

    • H66.10 - Chronic tubotympanic suppurative otitis media, unspecified

    • H66.11 - Chronic tubotympanic suppurative otitis media, right ear

    • H66.12 - Chronic tubotympanic suppurative otitis media, left ear

    • H66.13 - Chronic tubotympanic suppurative otitis media, bilateral

  • H66.2 - Chronic atticoantral suppurative otitis media

    • H66.20 - Chronic atticoantral suppurative otitis media, unspecified ear

    • H66.21 - Chronic atticoantral suppurative otitis media, right ear

    • H66.22 - Chronic atticoantral suppurative otitis media, left ear

    • H66.23 - Chronic atticoantral suppurative otitis media, bilateral

  • H66.3X - Other chronic suppurative otitis media

    • H66.3X1 - Other chronic suppurative otitis media, right ear

    • H66.3X2 - Other chronic suppurative otitis media, left ear

    • H66.3X3 - Other chronic suppurative otitis media, bilateral

    • H66.3X9 - Other chronic suppurative otitis media, unspecified ear

  • H66.4 - Suppurative otitis media, unspecified

    • H66.40 - Suppurative otitis media, unspecified, unspecified ear

    • H66.41 - Suppurative otitis media, unspecified, right ear

    • H66.42 - Suppurative otitis media, unspecified, left ear

    • H66.43 - Suppurative otitis media, unspecified, bilateral

  • H66.9 - Otitis media, unspecified

    • H66.90 - Otitis media, unspecified, unspecified ear

    • H66.91 - Otitis media, unspecified, right ear

    • H66.92 - Otitis media, unspecified, left ear

    • H66.93 - Otitis media, unspecified, bilateral

  • H67 - Otitis media in diseases classified elsewhere

    • H67.1 - Otitis media in diseases classified elsewhere, right ear

    • H67.2 - Otitis media in diseases classified elsewhere, left ear

    • H67.3 - Otitis media in diseases classified elsewhere, bilateral

    • H67.9 - Otitis media in diseases classified elsewhere, unspecified ear

  • H68.00 - Unspecified Eustachian salpingitis

    • H68.001 - Unspecified Eustachian salpingitis, right ear

    • H68.002 - Unspecified Eustachian salpingitis, left ear

    • H68.003 - Unspecified Eustachian salpingitis, bilateral

    • H68.009 - Unspecified Eustachian salpingitis, unspecified ear

  • H68.01 - Acute Eustachian salpingitis

    • H68.011 - Acute Eustachian salpingitis, right ear

    • H68.012 - Acute Eustachian salpingitis, left ear

    • H68.013 - Acute Eustachian salpingitis, bilateral

    • H68.019 - Acute Eustachian salpingitis, unspecified ear

  • H68.02 - Chronic Eustachian salpingitis

    • H68.021 - Chronic Eustachian salpingitis, right ear

    • H68.022 - Chronic Eustachian salpingitis, left ear

    • H68.023 - Chronic Eustachian salpingitis, bilateral

    • H68.029 - Chronic Eustachian salpingitis, unspecified ear

  • H70.00 - Acute mastoiditis without complications

    • H70.001 - Acute mastoiditis without complications, right ear

    • H70.002 - Acute mastoiditis without complications, left ear

    • H70.003 - Acute mastoiditis without complications, bilateral

    • H70.009 - Acute mastoiditis without complications, unspecified ear

  • H70.01 - Subperiosteal abscess of mastoid

    • H70.011 - Subperiosteal abscess of mastoid, right ear

    • H70.012 - Subperiosteal abscess of mastoid, left ear

    • H70.013 - Subperiosteal abscess of mastoid, bilateral

    • H70.019 - Subperiosteal abscess of mastoid, unspecified ear

  • H70.09 - Acute mastoiditis with other complications

    • H70.091 - Acute mastoiditis with other complications, right ear

    • H70.092 - Acute mastoiditis with other complications, left ear

    • H70.093 - Acute mastoiditis with other complications, bilateral

    • H70.099 - Acute mastoiditis with other complications, unspecified ear

  • H70.1 - Chronic mastoiditis

    • H70.10 - Chronic mastoiditis, unspecified ear

    • H70.11 - Chronic mastoiditis, right ear

    • H70.12 - Chronic mastoiditis, left ear

    • H70.13 - Chronic mastoiditis, bilateral

  • H70.20 - Unspecified petrositis

    • H70.201 - Unspecified petrositis, right ear

    • H70.202 - Unspecified petrositis, left ear

    • H70.203 - Unspecified petrositis, bilateral

    • H70.209 - Unspecified petrositis, unspecified ear

  • H70.21 - Acute petrositis

    • H70.211 - Acute petrositis, right ear

    • H70.212 - Acute petrositis, left ear

    • H70.213 - Acute petrositis, bilateral

    • H70.219 - Acute petrositis, unspecified ear

  • H70.22 - Chronic petrositis

    • H70.221 - Chronic petrositis, right ear

    • H70.222 - Chronic petrositis, left ear

    • H70.223 - Chronic petrositis, bilateral

    • H70.229 - Chronic petrositis, unspecified ear

  • H70.9 - Unspecified mastoiditis

    • H70.90 - Unspecified mastoiditis, unspecified ear

    • H70.91 - Unspecified mastoiditis, right ear

    • H70.92 - Unspecified mastoiditis, left ear

    • H70.93 - Unspecified mastoiditis, bilateral

  • H73.00 - Unspecified acute myringitis

    • H73.001 - Acute myringitis, right ear

    • H73.002 - Acute myringitis, left ear

    • H73.003 - Acute myringitis, bilateral

    • H73.009 - Acute myringitis, unspecified ear

  • H73.01 - Bullous myringitis

    • H73.011 - Bullous myringitis, right ear

    • H73.012 - Bullous myringitis, left ear

    • H73.013 - Bullous myringitis, bilateral

    • H73.019 - Bullous myringitis, unspecified ear

  • H73.09 - Other acute myringitis

    • H73.091 - Other acute myringitis, right ear

    • H73.092 - Other acute myringitis, left ear

    • H73.093 - Other acute myringitis, bilateral

    • H73.099 - Other acute myringitis, unspecified ear

  • H73.1 - Chronic myringitis

    • H73.10 - Chronic myringitis, unspecified ear

    • H73.11 - Chronic myringitis, right ear

    • H73.12 - Chronic myringitis, left ear

    • H73.13 - Chronic myringitis, bilateral

  • H73.2 - Unspecified myringitis

    • H73.20 - Unspecified myringitis, unspecified ear

    • H73.21 - Unspecified myringitis, right ear

    • H73.22 - Unspecified myringitis, left ear

    • H73.23 - Unspecified myringitis, bilateral

  • J01.0 - Acute maxillary sinusitis

    • J01.00 - Acute maxillary sinusitis, unspecified

    • J01.01 - Acute recurrent maxillary sinusitis

  • J01.1 - Acute frontal sinusitis

    • J01.10 - Acute frontal sinusitis, unspecified

    • J01.11 - Acute recurrent frontal sinusitis

  • J01.2 - Acute ethmoidal sinusitis

    • J01.20 - Acute ethmoidal sinusitis, unspecified

    • J01.21 - Acute recurrent ethmoidal sinusitis

  • J01.3 - Acute sphenoidal sinusitis

    • J01.30 - Acute sphenoidal sinusitis, unspecified

    • J01.31 - Acute recurrent sphenoidal sinusitis

  • J01.4 - Acute pansinusitis

    • J01.40 - Acute pansinusitis, unspecified

    • J01.41 - Acute recurrent pansinusitis

  • J01.8 - Other acute sinusitis

    • J01.80 - Other acute sinusitis

    • J01.81 - Other acute recurrent sinusitis

  • J01.9 - Acute sinusitis, unspecified

    • J01.90 - Acute sinusitis, unspecified

    • J01.91 - Acute recurrent sinusitis, unspecified

  • J02 - Acute pharyngitis

    • J02.0 - Streptococcal pharyngitis

    • J02.8 - Acute pharyngitis due to other specified organisms

    • J02.9 - Acute pharyngitis, unspecified

  • J03.0 - Streptococcal tonsillitis

    • J03.00 - Acute streptococcal tonsillitis, unspecified

    • J03.01 - Acute recurrent streptococcal tonsillitis

  • J03.8 - Acute tonsillitis due to other specified organisms

    • J03.80 - Acute tonsillitis due to other specified organisms

    • J03.81 - Acute recurrent tonsillitis due to other specified organisms

  • J03.9 - Acute tonsillitis, unspecified

    • J03.90 - Acute tonsillitis, unspecified

    • J03.91 - Acute recurrent tonsillitis, unspecified

  • J04 - Acute laryngitis and tracheitis

    • J04.0 - Acute laryngitis

    • J04.2 - Acute laryngotracheitis

  • J04.3 - Supraglottitis, unspecified

    • J04.30 - Supraglottitis, unspecified, without obstruction

    • J04.31 - Supraglottitis, unspecified, with obstruction

  • J05 - Acute obstructive laryngitis [croup] and epiglottitis

    • J05.0 - Acute obstructive laryngitis [croup]

  • J05.1 - Acute epiglottitis

    • J05.10 - Acute epiglottitis without obstruction

    • J05.11 - Acute epiglottitis with obstruction

  • J06 - Acute upper respiratory infections of multiple and unspecified sites

    • J06.0 - Acute laryngopharyngitis

    • J06.9 - Acute upper respiratory infection, unspecified

  • J11 - Influenza due to unidentified influenza virus

    • J11.1 - Influenza due to unidentified influenza virus with other respiratory manifestations

  • J30 - Vasomotor and allergic rhinitis

    • J30.0 - Vasomotor rhinitis

    • J30.1 - Allergic rhinitis due to pollen

    • J30.2 - Other seasonal allergic rhinitis

    • J30.5 - Allergic rhinitis due to food

    • J30.9 - Allergic rhinitis, unspecified

  • J30.8 - Other allergic rhinitis

    • J30.81 - Allergic rhinitis due to animal (cat) (dog) hair and dander

    • J30.89 - Other allergic rhinitis

  • J31 - Chronic rhinitis, nasopharyngitis and pharyngitis

    • J31.0 - Chronic rhinitis

    • J31.1 - Chronic nasopharyngitis

    • J31.2 - Chronic pharyngitis

  • J32 - Chronic sinusitis

    • J32.0 - Chronic maxillary sinusitis

    • J32.1 - Chronic frontal sinusitis

    • J32.2 - Chronic ethmoidal sinusitis

    • J32.3 - Chronic sphenoidal sinusitis

    • J32.4 - Chronic pansinusitis

    • J32.8 - Other chronic sinusitis

    • J32.9 - Chronic sinusitis, unspecified

  • J35.0 - Chronic tonsillitis and adenoiditis

    • J35.01 - Chronic tonsillitis

    • J35.02 - Chronic adenoiditis

    • J35.03 - Chronic tonsillitis and adenoiditis

  • J37 - Chronic laryngitis and laryngotracheitis

    • J37.0 - Chronic laryngitis

    • J37.1 - Chronic laryngotracheitis

  • J39 - Other diseases of upper respiratory tract

    • J39.0 - Retropharyngeal and parapharyngeal abscess

    • J39.1 - Other abscess of pharynx

    • J39.3 - Upper respiratory tract hypersensitivity reaction, site unspecified

    • J39.9 - Disease of upper respiratory tract, unspecified

  • T70.0 - Otitic barotrauma

    • T70.0XXA - Otitic barotrauma, initial encounter

  • T70.1 - Sinus barotrauma

    • T70.1XXA - Sinus barotrauma, initial encounter