H65.116
H65.116: Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
Billable / specific codeICD-10-CMbilateral
H65.116 is a billable, specific ICD-10-CM code for acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral. It is valid for submission on a claim.
Check H65.116 with the rest of the claim: free scrubberRisk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
H65.116 is named in 12 Medicare coverage policies: 12 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57434Billing and Coding: Vestibular and Audiologic Function Studies
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60361Billing and Coding: Allergy Diagnostic Testing
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under H65.11
- H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
- H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
- H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
- H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
- H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
- H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
- H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear