H66.004 — Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

Billable

Is H66.004 billable?

Yes — H66.004 is billable for FY2027. H66.004 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. H66.004 may be submitted for encounters from October 1, 2026 through September 30, 2027.

H66.004 at a glance

Code	H66.004
Description	Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027

Which MS-DRGs does H66.004 group to?

H66.004 sits in MDC 03 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

152Otitis Media and URI with MCCmedical
153Otitis Media and URI without MCCmedical

How is H66.004 listed in the Alphabetic Index?

The Alphabetic Index lists these routes under H66.00, the nearest indexed parent of H66.004. Use them to find the family, then select the specific code.

Otitis › media › suppurative › acute (acute)
Otitis › media › suppurative › acute › recurrent (acute)

Use additional code — inherited from H66

Report an additional code alongside H66.004 to fully describe the condition. H66.004 is sequenced first.

code 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)
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 H66.004, but a patient may have both at the same time. When documentation supports it, H66.004 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)

How long has H66.004 existed?

H66.004 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.