Is ICD-10-CM code H67 billable?

No, H67 (Otitis media in diseases classified elsewhere) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code H67 belong to?

H67 belongs to Chapter 8 of the ICD-10-CM tabular list: H60–H95 (Diseases of the Ear and Mastoid Process).

H67Not billable, use a more specific code below

Otitis media in diseases classified elsewhere

In Diseases of middle ear and mastoid (H65-H75), chapter 8: Diseases of the Ear and Mastoid Process

4 billable codes under H67: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

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

Code first: code the underlying condition first, then this code

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

Use additional code: add a second code for this, listed after this one

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

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

There are no chapter-specific rules for Chapter 8 yet, so the general rules in Section I.B apply.

Read Section I.C.8 (page 49)

All codes under H67

H67 can't be used on a claim. Pick a billable code below; grey headings group them.

H67 MS-DRGs

As the principal diagnosis, all 4 billable codes under H67 group to MS-DRG 152 or 153 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to H67

Notes on these codes point to H67.

E88.02 Use Additional Code: otitis media (H67.-)
H72 Code First: any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Ear Infections

Ear infections are the most common reason parents bring their child to a doctor. Three out of four children will have at least one ear infection by their third birthday. Adults can also get ear infections, but they are less common.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.