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Compare/H65.1 vs H66.9

H65.1 vs H66.9

H65.1 (Other acute nonsuppurative otitis media) compared with H66.9 (Otitis media, unspecified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. H65.1 carries an Excludes1 note covering H66.9: “otitis media (acute) NOS (H66.9)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

H65.1Other acute nonsuppurative otitis mediaH66.9Otitis media, unspecified
Billing statusNon-billable header

Report instead: H65.111, H65.112, H65.113, H65.114, H65.115

Non-billable header

Report instead: H66.90, H66.91, H66.92, H66.93

ClassificationH60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)
DefinitionOther acute nonsuppurative otitis media is a non-billable ICD-10-CM category code (H65.1).Otitis media, unspecified is a non-billable ICD-10-CM category code (H66.9).
Includes
nonsuppurative otitis media with myringitis
suppurative and unspecified otitis media with myringitis
Otitis media NOS
Acute otitis media NOS
Chronic otitis media NOS
Use additional code
code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify:
exposure to environmental tobacco smoke (Z77.22)
code for any associated perforated tympanic membrane (H72.-)
code to identify:
exposure to environmental tobacco smoke (Z77.22)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources