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H67.1 vs H67.9

H67.1 (Otitis media in diseases classified elsewhere, right ear) compared with H67.9 (Otitis media in diseases classified elsewhere, unspecified ear), from the official CMS tabular data. H67.1 and H67.9 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

H67.1
Right
Otitis media in diseases classified elsewhere, right ear
H67.9
Unspecified
Otitis media in diseases classified elsewhere, 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. H67.1 and H67.9 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

H67.1Otitis media in diseases classified elsewhere, right earH67.9Otitis media in diseases classified elsewhere, unspecified ear
Billing statusBillableBillable
ClassificationH60-H95 — Diseases of the ear and mastoid processH60-H95 — Diseases of the ear and mastoid process
DefinitionOtitis media in diseases classified elsewhere, right ear is a billable ICD-10-CM diagnosis code (H67.1).Otitis media in diseases classified elsewhere, unspecified ear is a billable ICD-10-CM diagnosis code (H67.9).
Use additional code
code for any associated perforated tympanic membrane (H72.-)
code for any associated perforated tympanic membrane (H72.-)
Code first
underlying disease, such as:
plasminogen deficiency (E88.02)
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