Is H65.03 a billable ICD-10-CM code?

Yes. H65.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H65.03 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).

H65.03

H65.03 — Acute serous otitis media, bilateral

Billable / specific codeICD-10-CMbilateral

H65.03 is a billable, specific ICD-10-CM code for acute serous otitis media, bilateral. It is valid for submission on a claim.

Risk adjustment

H65.03 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.

Medicare coverage

H65.03 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57434Billing and Coding: Vestibular and Audiologic Function Studies
A57434Billing and Coding: Vestibular and Audiologic Function Studies
A57473Billing and Coding: Allergy Testing
A57473Billing and Coding: Allergy Testing

Related codes at this level

Codes that share H65.0. If H65.03 is not quite right, the correct code is usually one of these.

Questions about H65.03

Is H65.03 a billable ICD-10-CM code?: Yes. H65.03 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H65.03 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).