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v1.0.0
ICD-10 Guide
ICD-10 CodesH67.2

H67.2

Billable

Otitis media in diseases classified elsewhere, left ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H67.2 is a billable code used to indicate a diagnosis of otitis media in diseases classified elsewhere, left ear.

Key Diagnostic Point:

Otitis media in diseases classified elsewhere, specifically in the left ear, refers to the inflammation or infection of the middle ear that occurs as a complication of other underlying diseases. This condition can arise from various etiologies, including systemic diseases such as diabetes mellitus, immunocompromised states, or other infections that may predispose individuals to ear infections. Clinically, patients may present with symptoms such as ear pain, hearing loss, fever, and irritability in children. Diagnosis typically involves a thorough history and physical examination, often supplemented by otoscopic examination revealing fluid in the middle ear. Management may include antibiotics, analgesics, or surgical interventions such as tympanostomy tubes if recurrent infections occur. Accurate coding is essential to reflect the underlying condition contributing to the otitis media, as this influences treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of underlying diseases causing otitis media.
  • Differentiation from other types of otitis media.
  • Need for precise documentation of the primary disease.
  • Potential for multiple codes to be applicable based on patient history.

Audit Risk Factors

  • Inadequate documentation of the underlying disease.
  • Failure to specify the left ear.
  • Incorrect coding of the primary diagnosis.
  • Lack of supporting clinical evidence for the diagnosis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, examination findings, and treatment plans.

Common Clinical Scenarios

Patients with recurrent otitis media due to chronic sinusitis or allergies.

Billing Considerations

Ensure documentation clearly links otitis media to the underlying disease.

Pediatrics

Documentation Requirements

Complete medical history, including family history of ear infections and any systemic diseases.

Common Clinical Scenarios

Children presenting with fever and irritability, requiring evaluation for otitis media.

Billing Considerations

Documenting developmental milestones and any associated symptoms is crucial.

Coding Guidelines

Inclusion Criteria

Use H67.2 When
  • According to ICD
  • 10 guidelines, H67
  • 2 should be used when otitis media is a complication of another disease
  • Coders must ensure that the primary condition is documented and coded first, followed by H67
  • 2 to indicate the complication

Exclusion Criteria

Do NOT use H67.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with otitis media treatment.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists should ensure clear documentation of the procedure's necessity.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding otitis media, particularly in cases where it is secondary to other diseases. This specificity aids in better tracking of healthcare outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding otitis media, particularly in cases where it is secondary to other diseases. This specificity aids in better tracking of healthcare outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding otitis media, particularly in cases where it is secondary to other diseases. This specificity aids in better tracking of healthcare outcomes and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use H67.2?

Use H67.2 when documenting otitis media that is a complication of another disease, ensuring that the primary condition is clearly documented.