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Compare/H67 vs J10.83

H67 vs J10.83

H67 (Otitis media in diseases classified elsewhere) compared with J10.83 (Influenza due to other identified influenza virus with otitis media), 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. H67 carries an Excludes1 note covering J10.83: “influenza (J09.X9, J10.83, J11.83)”

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

H67Otitis media in diseases classified elsewhereJ10.83Influenza due to other identified influenza virus with otitis media
Billing statusNon-billable header

Report instead: H67.1, H67.2, H67.3, H67.9

Billable
ClassificationH60-H95 — Diseases of the Ear and Mastoid Process (H60-H95)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionOtitis media in diseases classified elsewhere is a non-billable ICD-10-CM category code (H67).Influenza due to other identified influenza virus with otitis media is a billable ICD-10-CM diagnosis code (J10.83).
Includes
influenza A (non-novel)
influenza B
influenza C
Use additional code
code for any associated perforated tympanic membrane (H72.-)
code for any associated perforated tympanic membrane (H72.-)
code, if applicable, to identify resistance to antimicrobial drugs (Z16.-)
Code first
underlying disease, such as:
plasminogen deficiency (E88.02)

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