ICD-10 · PDGM grouping
H65 Nonsuppurative otitis media
All 44 codes in the H65 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
44
Can lead a claim
33
Cannot lead a claim
11
What CMS assigns to H65
33 of the 44 codes group to MMTA - Other; 11 are assigned no clinical group. None of the 44 is assigned a comorbidity subgroup. 33 of the 44 can lead a claim.
Every code in H65
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H65.0 Acute serous otitis media | ||||
| H65.00 | Acute serous otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.01 | Acute serous otitis media, right ear | Can lead a claim | A | None |
| H65.02 | Acute serous otitis media, left ear | Can lead a claim | A | None |
| H65.03 | Acute serous otitis media, bilateral | Can lead a claim | A | None |
| H65.04 | Acute serous otitis media, recurrent, right ear | Can lead a claim | A | None |
| H65.05 | Acute serous otitis media, recurrent, left ear | Can lead a claim | A | None |
| H65.06 | Acute serous otitis media, recurrent, bilateral | Can lead a claim | A | None |
| H65.07 | Acute serous otitis media, recurrent, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.1 Other acute nonsuppurative otitis media | ||||
| H65.11 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous) | ||||
| H65.111 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right earCMS: Acute and subacute allergic otitis media (serous), r ear | Can lead a claim | A | None |
| H65.112 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left earCMS: Acute and subacute allergic otitis media (serous), left ear | Can lead a claim | A | None |
| H65.113 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateralCMS: Acute and subacute allergic otitis media (serous), bi | Can lead a claim | A | None |
| H65.114 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right earCMS: Acute and subacute allergic otitis media, recur, r ear | Can lead a claim | A | None |
| H65.115 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left earCMS: Acute and subacute allergic otitis media, recur, left ear | Can lead a claim | A | None |
| H65.116 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateralCMS: Acute and subacute allergic otitis media (serous), recur, bi | Can lead a claim | A | None |
| H65.117 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified earCMS: Acute and subacute allergic otitis media, recur, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.119 | Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified earCMS: Acute and subacute allergic otitis media (serous), unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.19 Other acute nonsuppurative otitis media | ||||
| H65.191 | Other acute nonsuppurative otitis media, right ear | Can lead a claim | A | None |
| H65.192 | Other acute nonsuppurative otitis media, left ear | Can lead a claim | A | None |
| H65.193 | Other acute nonsuppurative otitis media, bilateral | Can lead a claim | A | None |
| H65.194 | Other acute nonsuppurative otitis media, recurrent, right earCMS: Oth acute nonsuppurative otitis media, recurrent, right ear | Can lead a claim | A | None |
| H65.195 | Other acute nonsuppurative otitis media, recurrent, left ear | Can lead a claim | A | None |
| H65.196 | Other acute nonsuppurative otitis media, recurrent, bilateralCMS: Oth acute nonsuppurative otitis media, recurrent, bilateral | Can lead a claim | A | None |
| H65.197 | Other acute nonsuppurative otitis media recurrent, unspecified earCMS: Other acute nonsuppurative otitis media recurrent, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.199 | Other acute nonsuppurative otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.2 Chronic serous otitis media | ||||
| H65.20 | Chronic serous otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.21 | Chronic serous otitis media, right ear | Can lead a claim | A | None |
| H65.22 | Chronic serous otitis media, left ear | Can lead a claim | A | None |
| H65.23 | Chronic serous otitis media, bilateral | Can lead a claim | A | None |
| H65.3 Chronic mucoid otitis media | ||||
| H65.30 | Chronic mucoid otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.31 | Chronic mucoid otitis media, right ear | Can lead a claim | A | None |
| H65.32 | Chronic mucoid otitis media, left ear | Can lead a claim | A | None |
| H65.33 | Chronic mucoid otitis media, bilateral | Can lead a claim | A | None |
| H65.4 Other chronic nonsuppurative otitis media | ||||
| H65.41 Chronic allergic otitis media | ||||
| H65.411 | Chronic allergic otitis media, right ear | Can lead a claim | A | None |
| H65.412 | Chronic allergic otitis media, left ear | Can lead a claim | A | None |
| H65.413 | Chronic allergic otitis media, bilateral | Can lead a claim | A | None |
| H65.419 | Chronic allergic otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.49 Other chronic nonsuppurative otitis media | ||||
| H65.491 | Other chronic nonsuppurative otitis media, right ear | Can lead a claim | A | None |
| H65.492 | Other chronic nonsuppurative otitis media, left ear | Can lead a claim | A | None |
| H65.493 | Other chronic nonsuppurative otitis media, bilateral | Can lead a claim | A | None |
| H65.499 | Other chronic nonsuppurative otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.9 Unspecified nonsuppurative otitis media | ||||
| H65.90 | Unspecified nonsuppurative otitis media, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H65.91 | Unspecified nonsuppurative otitis media, right ear | Can lead a claim | A | None |
| H65.92 | Unspecified nonsuppurative otitis media, left ear | Can lead a claim | A | None |
| H65.93 | Unspecified nonsuppurative otitis media, bilateral | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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