Is H67 a billable ICD-10-CM code?

No. H67 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H67 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 H67?

H67 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

H67

H67 — Otitis media in diseases classified elsewhere

Non-billable headerICD-10-CM

H67 is a non-billable header ICD-10-CM code for otitis media in diseases classified elsewhere. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

otitis media in:
influenza (J09.X9, J10.83, J11.83)
measles (B05.3)
scarlet fever (A38.0)
tuberculosis (A18.6)

Code first

The underlying condition must be sequenced before this code.

underlying disease, such as:
plasminogen deficiency (E88.02)
viral disease NEC (B00-B34)

Use additional code

Add a secondary code to capture the detail described below.

code for any associated perforated tympanic membrane (H72.-)

Risk adjustment

H67 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 to one of these instead H67

4 child codes. Green means billable.

Questions about H67

Is H67 a billable ICD-10-CM code?: No. H67 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H67 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 H67?: H67 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.