ICD-10 Code for Otitis
Also indexed as (acute)
The ICD-10-CM code for otitis is H66.90 — Otitis media, unspecified, unspecified ear. This is the code the Alphabetic Index gives for otitis with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).
H66.90 is billable but unspecified. If the documentation names a type, site or cause, one of the more specific codes below is likely expected.
Which otitis code should you use?
The Alphabetic Index lists 43 codes under Otitis. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.
By type
Otitis externa
| acute | H60.50Not billable | Unspecified acute noninfective otitis externa |
| chronic | H60.6Not billable | Unspecified chronic otitis externa |
| infective NEC | H60.39Not billable | Other infective otitis externa |
| malignant | H60.2Not billable | Malignant otitis externa |
| mycotic NEC | B36.9 | Superficial mycosis, unspecified |
| tropical NEC | B36.9 | Superficial mycosis, unspecified |
| acute › actinic | H60.51Not billable | Acute actinic otitis externa |
| acute › chemical | H60.52Not billable | Acute chemical otitis externa |
| acute › contact | H60.53Not billable | Acute contact otitis externa |
| acute › eczematoid | H60.54Not billable | Acute eczematoid otitis externa |
| acute › reactive | H60.55Not billable | Acute reactive otitis externa |
| acute › specified NEC | H60.59Not billable | Other noninfective acute otitis externa |
| in › aspergillosis | B44.89 | Other forms of aspergillosis |
| in › candidiasis | B37.84 | Candidal otitis externa |
| in › erysipelas | A46 | Erysipelas |
| in › herpes virus infection | B00.1 | Herpesviral vesicular dermatitis |
| in › impetigo | L01.00 | Impetigo, unspecified |
| in › infectious disease NEC | B99Not billable | Other and unspecified infectious diseases |
| in › mycosis NEC | B36.9 | Superficial mycosis, unspecified |
| in › parasitic disease NEC | B89 | Unspecified parasitic disease |
| in › viral disease NEC | B34.9 | Viral infection, unspecified |
| in › zoster | B02.8 | Zoster with other complications |
| infective NEC › diffuse | H60.31Not billable | Diffuse otitis externa |
| infective NEC › hemorrhagic | H60.32Not billable | Hemorrhagic otitis externa |
| in › herpes virus infection › zoster | B02.8 | Zoster with other complications |
| mycotic NEC › in › aspergillosis | B44.89 | Other forms of aspergillosis |
| mycotic NEC › in › candidiasis | B37.84 | Candidal otitis externa |
| mycotic NEC › in › moniliasis | B37.84 | Candidal otitis externa |
| tropical NEC › in › aspergillosis | B44.89 | Other forms of aspergillosis |
| tropical NEC › in › candidiasis | B37.84 | Candidal otitis externa |
| tropical NEC › in › moniliasis | B37.84 | Candidal otitis externa |
Otitis media
| acute, subacute | H66.90 | Otitis media, unspecified, unspecified ear |
| chronic | H66.90 | Otitis media, unspecified, unspecified ear |
| nonsuppurative | H65.9Not billable | Unspecified nonsuppurative otitis media |
| postmeasles | B05.3 | Measles complicated by otitis media |
| suppurative | H66.4Not billable | Suppurative otitis media, unspecified |
| tuberculous | A18.6 | Tuberculosis of (inner) (middle) ear |
| in › measles | B05.3 | Measles complicated by otitis media |
| in › scarlet fever | A38.0 | Scarlet fever with otitis media |
| in › tuberculosis | A18.6 | Tuberculosis of (inner) (middle) ear |
| nonsuppurative › acute or subacute NEC | H65.19Not billable | Other acute nonsuppurative otitis media |
| nonsuppurative › chronic | H65.49Not billable | Other chronic nonsuppurative otitis media |
| suppurative › acute | H66.00Not billable | Acute suppurative otitis media without spontaneous rupture of ear drum |
| suppurative › chronic | H66.3Not billable | Other chronic suppurative otitis media |
| nonsuppurative › acute or subacute NEC › allergic | H65.11Not billable | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) |
| nonsuppurative › acute or subacute NEC › recurrent | H65.19Not billable | Other acute nonsuppurative otitis media |
| nonsuppurative › acute or subacute NEC › serous | H65.0Not billable | Acute serous otitis media |
| nonsuppurative › chronic › allergic | H65.41Not billable | Chronic allergic otitis media |
| nonsuppurative › chronic › mucoid | H65.3Not billable | Chronic mucoid otitis media |
| nonsuppurative › chronic › serous | H65.2Not billable | Chronic serous otitis media |
| suppurative › acute › with rupture of ear drum | H66.01Not billable | Acute suppurative otitis media with spontaneous rupture of ear drum |
| suppurative › acute › recurrent | H66.00Not billable | Acute suppurative otitis media without spontaneous rupture of ear drum |
| suppurative › chronic › atticoantral | H66.2Not billable | Chronic atticoantral suppurative otitis media |
| suppurative › chronic › tubotympanic | H66.1Not billable | Chronic tubotympanic suppurative otitis media |
| acute, subacute › necrotizing › in › measles | B05.3 | Measles complicated by otitis media |
| acute, subacute › necrotizing › in › scarlet fever | A38.0 | Scarlet fever with otitis media |
| nonsuppurative › acute or subacute NEC › allergic › recurrent | H65.11Not billable | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) |
| nonsuppurative › acute or subacute NEC › serous › recurrent | H65.0Not billable | Acute serous otitis media |
| suppurative › acute › recurrent › with rupture of ear drum | H66.01Not billable | Acute suppurative otitis media with spontaneous rupture of ear drum |
Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources