Is H65.197 a billable ICD-10-CM code?

Yes. H65.197 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H65.197 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).

What cannot be coded together with H65.197?

H65.197 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H65.197 (H65.1) and apply to it just the same.

H65.197

H65.197 — Other acute nonsuppurative otitis media recurrent, unspecified ear

Billable / specific codeICD-10-CMunspecified

H65.197 is a billable, specific ICD-10-CM code for other acute nonsuppurative otitis media recurrent, unspecified ear. It is valid for submission on a claim.

Excludes1 inherited from the categories above H65.197

These are not written on H65.197, but they bind it: a note on a category applies to every code beneath it. Billing H65.197 with anything listed here is a denial.

Written on H65.1 — Other acute nonsuppurative otitis media

otitic barotrauma (T70.0)
otitis media (acute) NOS (H66.9)

Risk adjustment

H65.197 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 history

H65.197 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H65.19. If H65.197 is not quite right, the correct code is usually one of these.

Questions about H65.197

Is H65.197 a billable ICD-10-CM code?: Yes. H65.197 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H65.197 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).
What cannot be coded together with H65.197?: H65.197 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H65.197 (H65.1) and apply to it just the same.