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H66.011 vs H66.019

H66.011 (Acute suppurative otitis media with spontaneous rupture of ear drum, right ear) compared with H66.019 (Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear), from the official CMS tabular data. H66.011 and H66.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H66.011
Right
Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
H66.019
Unspecified
Acute suppurative otitis media with spontaneous rupture of ear drum, 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. H66.011 and H66.019 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

H66.011Acute suppurative otitis media with spontaneous rupture of ear drum, right earH66.019Acute suppurative otitis media with spontaneous rupture of ear drum, 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)
DefinitionAcute suppurative otitis media with spontaneous rupture of ear drum, right ear is a billable ICD-10-CM diagnosis code (H66.011).Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear is a billable ICD-10-CM diagnosis code (H66.019).
Includes
suppurative and unspecified otitis media with myringitis
suppurative and unspecified otitis media with myringitis
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)

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