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Home/Diagnosis/ICD-10 Coding for Recurrent Otitis Media

ICD-10 Coding for Recurrent Otitis Media

H66.004
H65.114

Complete ICD-10-CM coding and documentation guide for icd-10 coding for recurrent otitis media includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Recurrent Ear Infection
Recurrent Middle Ear Infection
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Key Information: ICD-10 Coding for Recurrent Otitis Media

Essential facts and insights about ICD-10 Coding for Recurrent Otitis Media

Use ICD-10 code H66.004 for acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

Billable Code
H66.004
Billable

Diagnostic Criteria

clinical:
  • • Presence of purulent discharge and intact tympanic membrane
documentation:
  • • Documentation of ≥3 episodes in 6 months

Applicable To

  • • Recurrent acute suppurative otitis media without rupture

Important Notes

  • • Ensure documentation specifies recurrence and laterality to avoid unspecified codes.

Acute and subacute recurrent otitis media, right ear

Billable Code
H65.114
Billable

Diagnostic Criteria

clinical:
  • • Effusion type specified (serous/mucoid/sanguinous)
  • • Recurrent in assessment
  • • Negative bacterial culture (if performed)

Applicable To

  • • Recurrent acute and subacute otitis media

Important Notes

  • • Ensure effusion type and recurrence are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Use when there is documented exposure to tobacco smoke.

Frequently Asked Questions

What is the ICD-10 code for recurrent otitis media?

The ICD-10 code for recurrent otitis media, specifically acute suppurative without rupture in the right ear, is H66.004.

How do you document recurrent otitis media?

Document recurrent otitis media by specifying the number of episodes, laterality, effusion type, and any environmental risk factors like tobacco exposure.

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