ICD-10 Guide

Right Otitis Media

ICD-10 Coding for Right Otitis Media(H65.01, H65.114, H66.91)

PRIMARY SPECIALTYPediatrics

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Otitis Media?

Essential facts and insights about Right Otitis Media

Key Clinical Considerations:

Ear pain (otalgia), fever, irritability, and possible hearing loss
Tympanic membrane examination showing redness, bulging, or effusion
Tenderness upon palpation of the ear, decreased mobility of the tympanic membrane

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history including onset and duration of symptoms, previous episodes
Specific coding terminology such as 'acute' or 'chronic' otitis media
Documentation examples include detailed descriptions of symptoms and findings from the physical exam

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for differentiating between acute and chronic cases.
Common errors include misclassifying the type of otitis media.

Code Exclusions

Important Exclusions

Chronic otitis media with effusion
Other ear infections such as external otitis

Specialty Focus

Primary Specialty

Pediatrics

Specialty Applications

Pediatric patients, especially those under 5 years old
Primary care and pediatric specialty clinics

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Include detailed patient history, physical exam findings, and treatment plan.

What are the billing considerations?

Ensure accurate coding to reflect the severity and type of otitis media for proper reimbursement.

Right Otitis Media

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?

Right Otitis Media

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?