H65.4 — Other chronic nonsuppurative otitis media
Is H65.4 billable?
No — H65.4 is a non-billable header code. H65.4 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 8 billable codes beneath H65.4.
Billable codes under this header
- H65.411Chronic allergic otitis media, right ear
- H65.412Chronic allergic otitis media, left ear
- H65.413Chronic allergic otitis media, bilateral
- H65.419Chronic allergic otitis media, unspecified ear
- H65.491Other chronic nonsuppurative otitis media, right ear
- H65.492Other chronic nonsuppurative otitis media, left ear
- H65.493Other chronic nonsuppurative otitis media, bilateral
- H65.499Other chronic nonsuppurative otitis media, unspecified ear
H65.4 at a glance
| Code | H65.4 |
|---|---|
| Description | Other chronic nonsuppurative otitis media |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Use additional code — inherited from H65
Report an additional code alongside H65.4 to fully describe the condition. H65.4 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 H65.4, but a patient may have both at the same time. When documentation supports it, H65.4 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 H65.4? (2)
How long has H65.4 existed?
H65.4 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.