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H65.191 vs H65.199

H65.191 (Other acute nonsuppurative otitis media, right ear) compared with H65.199 (Other acute nonsuppurative otitis media, unspecified ear), from the official CMS tabular data. H65.191 and H65.199 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H65.191
Right
Other acute nonsuppurative otitis media, right ear
H65.199
Unspecified
Other acute nonsuppurative otitis media, unspecified ear

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. H65.191 and H65.199 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

H65.191Other acute nonsuppurative otitis media, right earH65.199Other acute nonsuppurative otitis media, unspecified ear
Billing statusBillableBillable
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, right ear is a billable ICD-10-CM diagnosis code (H65.191).Other acute nonsuppurative otitis media, unspecified ear is a billable ICD-10-CM diagnosis code (H65.199).
Includes
nonsuppurative otitis media with myringitis
nonsuppurative otitis media with myringitis
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, if applicable, 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