ICD-10-CM H65: Nonsuppurative otitis media

ICD-10-CM Diagnosis Code (2025)

Official Description for H65

Nonsuppurative otitis media

Coding Notes & Guidelines for H65

Includes Notes

nonsuppurative otitis media with myringitis

Excludes1: Not Coded Here
  • otitic barotrauma (T70.0)
  • otitis media (acute) NOS (H66.9)
Excludes1: Not Coded Here

adhesive middle ear disease (H74.1)

Use Additional Code

code for any associated perforated tympanic membrane (H72.-)

Use Additional Code
  • 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)
Inclusion Terms

Acute and subacute secretory otitis

Inclusion Terms
  • Acute and subacute mucoid otitis media
  • Acute and subacute nonsuppurative otitis media NOS
  • Acute and subacute sanguinous otitis media
  • Acute and subacute seromucinous otitis media
Inclusion Terms

Chronic tubotympanal catarrh

Inclusion Terms
  • Chronic mucinous otitis media
  • Chronic secretory otitis media
  • Chronic transudative otitis media
  • Glue ear
Inclusion Terms
  • Chronic exudative otitis media
  • Chronic nonsuppurative otitis media NOS
  • Chronic otitis media with effusion (nonpurulent)
  • Chronic seromucinous otitis media
Inclusion Terms
  • Allergic otitis media NOS
  • Catarrhal otitis media NOS
  • Exudative otitis media NOS
  • Mucoid otitis media NOS
  • Otitis media with effusion (nonpurulent) NOS
  • Secretory otitis media NOS
  • Seromucinous otitis media NOS
  • Serous otitis media NOS
  • Transudative otitis media NOS

Child Codes (More Specific Codes for H65):

H65.0 - Acute serous otitis media H65.00 - Acute serous otitis media, unspecified ear H65.01 - Acute serous otitis media, right ear H65.02 - Acute serous otitis media, left ear H65.03 - Acute serous otitis media, bilateral H65.04 - Acute serous otitis media, recurrent, right ear H65.05 - Acute serous otitis media, recurrent, left ear H65.06 - Acute serous otitis media, recurrent, bilateral H65.07 - Acute serous otitis media, recurrent, unspecified ear H65.1 - Other acute nonsuppurative otitis media H65.11 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) H65.111 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear H65.112 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear H65.113 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral H65.114 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear H65.115 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear H65.116 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral H65.117 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear H65.119 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear H65.19 - Other acute nonsuppurative otitis media H65.191 - Other acute nonsuppurative otitis media, right ear H65.192 - Other acute nonsuppurative otitis media, left ear H65.193 - Other acute nonsuppurative otitis media, bilateral H65.194 - Other acute nonsuppurative otitis media, recurrent, right ear H65.195 - Other acute nonsuppurative otitis media, recurrent, left ear H65.196 - Other acute nonsuppurative otitis media, recurrent, bilateral H65.197 - Other acute nonsuppurative otitis media recurrent, unspecified ear H65.199 - Other acute nonsuppurative otitis media, unspecified ear H65.2 - Chronic serous otitis media H65.20 - Chronic serous otitis media, unspecified ear H65.21 - Chronic serous otitis media, right ear H65.22 - Chronic serous otitis media, left ear H65.23 - Chronic serous otitis media, bilateral H65.3 - Chronic mucoid otitis media H65.30 - Chronic mucoid otitis media, unspecified ear H65.31 - Chronic mucoid otitis media, right ear H65.32 - Chronic mucoid otitis media, left ear H65.33 - Chronic mucoid otitis media, bilateral H65.4 - Other chronic nonsuppurative otitis media H65.41 - Chronic allergic otitis media H65.411 - Chronic allergic otitis media, right ear H65.412 - Chronic allergic otitis media, left ear H65.413 - Chronic allergic otitis media, bilateral H65.419 - Chronic allergic otitis media, unspecified ear H65.49 - Other chronic nonsuppurative otitis media H65.491 - Other chronic nonsuppurative otitis media, right ear H65.492 - Other chronic nonsuppurative otitis media, left ear H65.493 - Other chronic nonsuppurative otitis media, bilateral H65.499 - Other chronic nonsuppurative otitis media, unspecified ear H65.9 - Unspecified nonsuppurative otitis media H65.90 - Unspecified nonsuppurative otitis media, unspecified ear H65.91 - Unspecified nonsuppurative otitis media, right ear H65.92 - Unspecified nonsuppurative otitis media, left ear H65.93 - Unspecified nonsuppurative otitis media, bilateral

About ICD-10-CM Code H65 (Nonsuppurative otitis media)

ICD-10-CM code H65 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM H65 became effective on October 1, 2024.

This page provides detailed information about H65 - Nonsuppurative otitis media. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Nonsuppurative otitis media.