H65.117
H65.117 — Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
Billable / specific codeICD-10-CMunspecified
H65.117 is a billable, specific ICD-10-CM code for acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear. It is valid for submission on a claim.
Risk adjustment
H65.117 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
H65.117 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share H65.11. If H65.117 is not quite right, the correct code is usually one of these.
- 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
- H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
- H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
Questions about H65.117
- Is H65.117 a billable ICD-10-CM code?
- Yes. H65.117 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H65.117 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).