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H65.411 vs H65.412

H65.411 (Chronic allergic otitis media, right ear) compared with H65.412 (Chronic allergic otitis media, left ear), from the official CMS tabular data. H65.411 and H65.412 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H65.411
Right
Chronic allergic otitis media, right ear
H65.412
Left
Chronic allergic otitis media, left 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. H65.411 and H65.412 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

H65.411Chronic allergic otitis media, right earH65.412Chronic allergic otitis media, left 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)
DefinitionChronic allergic otitis media, right ear is a billable ICD-10-CM diagnosis code (H65.411).Chronic allergic otitis media, left ear is a billable ICD-10-CM diagnosis code (H65.412).
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