H65.3 vs H74.1
H65.3 (Chronic mucoid otitis media) compared with H74.1 (Adhesive middle ear disease), 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. H65.3 carries an Excludes1 note covering H74.1: “adhesive middle ear disease (H74.1)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. H74.1 carries an Excludes1 note covering H65.3: “glue ear (H65.3-)”
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
| H65.3Chronic mucoid otitis media | H74.1Adhesive middle ear disease | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95) | H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95) |
| Definition | Chronic mucoid otitis media is a non-billable ICD-10-CM category code (H65.3). | Adhesive middle ear disease is a non-billable ICD-10-CM category code (H74.1). |
| Includes | nonsuppurative otitis media with myringitis Chronic mucinous otitis media Chronic secretory otitis media Chronic transudative otitis media | Adhesive otitis |
| Use additional code | 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