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H66.90 vs H66.91

H66.90 (Otitis media, unspecified, unspecified ear) compared with H66.91 (Otitis media, unspecified, right ear), from the official CMS tabular data. H66.90 and H66.91 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H66.90
Unspecified
Otitis media, unspecified, unspecified ear
H66.91
Right
Otitis media, unspecified, right 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. H66.90 and H66.91 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

H66.90Otitis media, unspecified, unspecified earH66.91Otitis media, unspecified, right ear
Billing statusBillableBillable
ClassificationH60-H95 — Diseases of the ear and mastoid processH60-H95 — Diseases of the ear and mastoid process
DefinitionOtitis media, unspecified, unspecified ear is a billable ICD-10-CM diagnosis code (H66.90).Otitis media, unspecified, right ear is a billable ICD-10-CM diagnosis code (H66.91).
Includes
suppurative and unspecified otitis media with myringitis
suppurative and unspecified otitis media with myringitis
Use additional code
code for any associated perforated tympanic membrane (H72.-)
code to identify:
exposure to environmental tobacco smoke (Z77.22)
code for any associated perforated tympanic membrane (H72.-)
code 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