H65.411
H65.411 — Chronic allergic otitis media, right ear
Billable / specific codeICD-10-CMright
H65.411 is a billable, specific ICD-10-CM code for chronic allergic otitis media, right ear. It is valid for submission on a claim.
Risk adjustment
H65.411 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
H65.411 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56558Billing and Coding: Allergy Testing
- A57181Billing and Coding: Allergy Testing
- A57181Billing and Coding: Allergy Testing
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share H65.41. If H65.411 is not quite right, the correct code is usually one of these.
Questions about H65.411
- Is H65.411 a billable ICD-10-CM code?
- Yes. H65.411 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H65.411 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).