Is H66.003 a billable ICD-10-CM code?

Yes. H66.003 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H66.003 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).

H66.003

H66.003 — Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral

Billable / specific codeICD-10-CMbilateral

H66.003 is a billable, specific ICD-10-CM code for acute suppurative otitis media without spontaneous rupture of ear drum, bilateral. It is valid for submission on a claim.

Risk adjustment

H66.003 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

H66.003 is named in 3 Medicare coverage policies — 3 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
A57434Billing and Coding: Vestibular and Audiologic Function Studies
A57434Billing and Coding: Vestibular and Audiologic Function Studies

Related codes at this level

Codes that share H66.00. If H66.003 is not quite right, the correct code is usually one of these.

Questions about H66.003

Is H66.003 a billable ICD-10-CM code?: Yes. H66.003 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H66.003 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).