H65.4

Other chronic nonsuppurative otitis media

FY2027Chapter 8: Diseases of the ear and mastoid process/H65–H75 Diseases of middle ear and mastoid

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

H65.4 is a non-billable ICD-10-CM code header for other chronic nonsuppurative otitis media. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are H65.41 Chronic allergic otitis media and H65.49 Other chronic nonsuppurative otitis media. Its coding notes include a Use additional code instruction and 8 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Inherited from H65 Nonsuppurative otitis media
  • code for any associated perforated tympanic membrane (H72.-)
  • code, if applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • infectious agent (B95-B97)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Also from chapter/block level (8 notes)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Includes

Further defines or gives examples of the content of the category.

Inherited from H65 Nonsuppurative otitis media
  • nonsuppurative otitis media with myringitis

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 8 Diseases of the ear and mastoid process
  • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition

More specific codes under H65.4 2