ICD-10-CM Use Additional Code Notes · Chapter 8 · FY 2027 H60-H95

Use Additional Code Notes in Chapter 8: Diseases of the ear and mastoid process ICD-10-CM

A Use Additional Code note means a second code should be added, after this one, to fully describe the condition. In Chapter 8 (H60-H95), notes printed in the chapter name other codes 21 times, and Use Additional Code Notes anywhere in the Tabular List name the chapter’s codes 14 times, covering 4 distinct codes, categories and ranges. Switch views to read the list either way.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A
21
References in Its Notes
14
References to Its Codes
4
Chapter Codes Named
H60-H95
Chapter 8
Chapter 8

Use Additional Code Notes by the code that carries the note

9 of 9 shown
  • H65 Nonsuppurative otitis media applies to 44 codes
    • code for any associated perforated tympanic membrane (H72.-)
    • 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)
  • H66 Suppurative and unspecified otitis media applies to 36 codes
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
  • H66.1 Chronic tubotympanic suppurative otitis media applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H66.2 Chronic atticoantral suppurative otitis media applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H66.3 Other chronic suppurative otitis media applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H66.4 Suppurative otitis media, unspecified applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H66.9 Otitis media, unspecified applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H67 Otitis media in diseases classified elsewhere applies to 4 codes
    • code for any associated perforated tympanic membrane (H72.-)
  • H91.0 Ototoxic hearing loss applies to 4 codes
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

The first view lists notes printed in this chapter (a note on a category or block applies to every code beneath it). The second lists codes of this chapter named by Use Additional Code Notes anywhere in the Tabular List, including notes in other chapters.

Questions About Use Additional Code Notes

What does a Use Additional Code note mean?

A Use Additional Code note tells you to add a second code, reported after the code that carries the note, to describe the condition completely. In an etiology/manifestation pair it sits at the etiology code and points to the manifestation (Section I.A.13). The FY 2027 Tabular List has 1,491 of them; 1,174 name other codes, with 1,438 references to 389 distinct codes, categories and ranges.

Where does the additional code go?

After the code carrying the note. For etiology/manifestation pairs the Guidelines are explicit: the etiology is sequenced first, followed by the manifestation code.

Related References

ICD-10-CM Official GuidelinesICD-10-CM Code LookupICD-10-CM Codes ListCode Lists by Tag

Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.