H67.9

Otitis media in diseases classified elsewhere, unspecified ear

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

BillableComplete code, valid to report

H67.9 (also written H679) is a billable ICD-10-CM diagnosis code for otitis media in diseases classified elsewhere, unspecified ear. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category H67 (Otitis media in diseases classified elsewhere). Its coding notes include a Code first instruction, a Use additional code instruction, 5 Excludes1 entries and 8 Excludes2 entries.

Code first

If the underlying condition listed here is present and known, sequence it first.

Inherited from H67 Otitis media in diseases classified elsewhere
  • underlying disease, such as:
    • plasminogen deficiency (E88.02)
    • viral disease NEC (B00-B34)

Use additional code

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

Inherited from H67 Otitis media in diseases classified elsewhere
  • code for any associated perforated tympanic membrane (H72.-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Inherited from H67 Otitis media in diseases classified elsewhere

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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Hospice: not accepted as primary

Not accepted as the principal diagnosis on a hospice claim (bill types 081x and 082x). The Integrated OCE returns an edit for this code.
Reason: Manifestation code. Report the underlying condition first (see the Code first note).

Source: CMS Integrated Outpatient Code Editor (IOCE) v27.3, effective October 1, 2026, edit 86

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