H65.492 (Other chronic nonsuppurative otitis media, left ear) compared with H65.499 (Other chronic nonsuppurative otitis media, unspecified ear), from the official CMS tabular data. H65.492 and H65.499 code the same condition on opposite sides.
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)
Same condition, opposite side. H65.492 and H65.499 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.
| H65.492Other chronic nonsuppurative otitis media, left ear | H65.499Other chronic nonsuppurative otitis media, unspecified ear | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95) | H60-H95 — Diseases of the Ear and Mastoid Process (H60-H95) |
| Definition | Other chronic nonsuppurative otitis media, left ear is a billable ICD-10-CM diagnosis code (H65.492). | Other chronic nonsuppurative otitis media, unspecified ear is a billable ICD-10-CM diagnosis code (H65.499). |
| 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