H65.1 — Other acute nonsuppurative otitis media
Is H65.1 billable?
No — H65.1 is a non-billable header code. H65.1 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 16 billable codes beneath H65.1.
Billable codes under this header
- H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
- H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
- H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
- H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
- H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
- H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
- H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
- H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
- H65.191Other acute nonsuppurative otitis media, right ear
- H65.192Other acute nonsuppurative otitis media, left ear
- H65.193Other acute nonsuppurative otitis media, bilateral
- H65.194Other acute nonsuppurative otitis media, recurrent, right ear
- H65.195Other acute nonsuppurative otitis media, recurrent, left ear
- H65.196Other acute nonsuppurative otitis media, recurrent, bilateral
- H65.197Other acute nonsuppurative otitis media recurrent, unspecified ear
- H65.199Other acute nonsuppurative otitis media, unspecified ear
H65.1 at a glance
| Code | H65.1 |
|---|---|
| Description | Other acute nonsuppurative otitis media |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with H65.1 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Use additional code — inherited from H65
Report an additional code alongside H65.1 to fully describe the condition. H65.1 is sequenced first.
- code for any associated perforated tympanic membrane (H72.-)
- code, if applicable, to identify:
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- infectious agent (B95-B97)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Excludes2 — not included here — inherited from Chapter 8
The conditions below are not part of H65.1, but a patient may have both at the same time. When documentation supports it, H65.1 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
What codes fall under H65.1? (2)
How long has H65.1 existed?
H65.1 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with H65.1?
ICD-10-CM declares these codes mutually exclusive with H65.1 — exactly one of each pair can be correct for a given encounter.