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H66.9 ICD-10-CM Code: Otitis media, unspecified

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Coding at a Glance

Tabular directives
4 inclusion terms · 8 use-additional codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for H66.9 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on H66.9 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • suppurative and unspecified otitis media with myringitis

Source: inherited from H66

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Otitis media NOS
  • Acute otitis media NOS
  • Chronic otitis media NOS

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for any associated perforated tympanic membrane (H72.-)
  • Use additional code to identify:
  • exposure to environmental tobacco smoke (Z77.22) inherited from H66
  • exposure to tobacco smoke in the perinatal period (P96.81) inherited from H66
  • history of tobacco dependence (Z87.891) inherited from H66
  • occupational exposure to environmental tobacco smoke (Z57.31) inherited from H66
  • tobacco dependence (F17.-) inherited from H66
  • tobacco use (Z72.0) inherited from H66

Coder workflow for H66.9

MedCoder structured workflow — derived from this code’s own official record

Before you code H66.9

  1. H66.9 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).

    ReviewH66.90, H66.91, H66.92

    See the relationships section · Guide: How to choose an ICD-10-CM code →

  2. Unspecified does not mean incorrect. When the record gives no greater specificity, H66.9 may be the appropriate code. Check the record for detail that supports a more specific sibling — in this subcategory the siblings differ by acute versus chronic. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    ReviewH66.1, H66.2, H66.3

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

Choose the right path

  1. Does the documentation support one of the more specific codes beneath H66.9?
    Yes → Select that code and continue the checks below on its own page.
    No → H66.9 cannot be reported as written; query for the specificity its subcategory needs.

    ReviewH66.90, H66.91, H66.92

  2. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — H66.9 is appropriate when the documentation goes no further.

    ReviewH66.1, H66.2, H66.3

Consider H66.9. Then work the Use Additional Code note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Acuity
Acute or chronic as documented; when both are documented and separate codes exist, both are reported with the acute code first (Guidelines I.B.8).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Use Additional Code — after identifying H66.9(8 notes)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with H66.9 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    ReviewH72, Z77.22, P96.81, Z87.891, Z57.31, F17

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the specific siblings in this subcategory and what each requires the record to state.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

ReviewH66.1, H66.2, H66.3

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with H66.9?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

ReviewH72, Z77.22, P96.81, Z87.891, Z57.31, F17

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Otitis media, unspecified is a non-billable ICD-10-CM category code (H66.9). A more specific billable subcode must be selected for claims submission.

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name H66.9 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: H65.1 — Other acute nonsuppurative otitis media.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 2 Code First instructions across 2 chapters: G05 — Encephalitis, myelitis and encephalomyelitis in diseases classified elsewhere (via H66.-), H72 — Perforation of tympanic membrane.

Each of these codes carries a Code First note naming this condition — when that code is reported, THIS code is sequenced first, ahead of it.

Related Codes

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Otitis”; these codes share that main term but sit in a different category of the Tabular List.

H60.32 — Hemorrhagic otitis externa (externa, infective NEC, hemorrhagic), H60.39 — Other infective otitis externa (externa, infective NEC), H60.50 — Unspecified acute noninfective otitis externa (externa, acute), H60.51 — Acute actinic otitis externa (externa, acute, actinic), H60.52 — Acute chemical otitis externa (externa, acute, chemical), H60.53 — Acute contact otitis externa (externa, acute, contact), H60.54 — Acute eczematoid otitis externa (externa, acute, eczematoid), H60.55 — Acute reactive otitis externa (externa, acute, reactive), H60.59 — Other noninfective acute otitis externa (externa, acute, specified NEC), H60.6 — Unspecified chronic otitis externa (externa, chronic), H60.9 — Unspecified otitis externa (externa), H65.0 — Acute serous otitis media (media, nonsuppurative, acute or subacute NEC, serous), H65.11 — Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) (media, nonsuppurative, acute or subacute NEC, allergic), H65.19 — Other acute nonsuppurative otitis media (media, nonsuppurative, acute or subacute NEC), H65.2 — Chronic serous otitis media (media, nonsuppurative, chronic, serous), H65.3 — Chronic mucoid otitis media (media, nonsuppurative, chronic, mucoid), H65.41 — Chronic allergic otitis media (media, nonsuppurative, chronic, allergic), H65.49 — Other chronic nonsuppurative otitis media (media, nonsuppurative, chronic), H65.9 — Unspecified nonsuppurative otitis media (media, nonsuppurative), L01.00 — Impetigo, unspecified (externa, in, impetigo), +14 more

Contextual Map

Every relationship of H66.9 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run H66.9 with these 3 related codes in Claim Check

Hierarchy

Use Additional Code

Referenced by Excludes1 notes

Referenced by Code First instructions

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Can H66.9 be billed directly?

No. H66.9 (Otitis media, unspecified) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "H66.9 — Otitis media, unspecified." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/h66.9-otitis-media-unspecified

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Otitis media, unspecified

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to H66.9 in its code family, with their registry titles.

View all codes in the H66 family