H65
H65 — Nonsuppurative otitis media
Non-billable headerICD-10-CM
H65 is a non-billable header ICD-10-CM code for nonsuppurative otitis media. It cannot be billed on its own: choose one of the more specific child codes below.
Use additional code
Add a secondary code to capture the detail described below.
- 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)
Includes
Conditions this code covers.
- nonsuppurative otitis media with myringitis
Other codes that can never be billed with H65
These codes carry an Excludes1 note pointing at H65. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading H65 alone.
Risk adjustment
H65 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead H65
6 child codes. Green means billable.
Questions about H65
- Is H65 a billable ICD-10-CM code?
- No. H65 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does H65 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of middle ear and mastoid (H65-H75).