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Note:: Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition

Excludes 2:: 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)

H65

Nonsuppurative otitis media [+]

Includes:	nonsuppurative otitis media with myringitis
Use additional	code for any associated perforated tympanic membrane (H72.-)
Use additional	code, if applicable, to identify:
Use additional	exposure to environmental tobacco smoke (Z77.22)
Use additional	exposure to tobacco smoke in the perinatal period (P96.81)
Use additional	history of tobacco dependence (Z87.891)
Use additional	infectious agent (B95-B97)
Use additional	occupational exposure to environmental tobacco smoke (Z57.31)
Use additional	tobacco dependence (F17.-)
Use additional	tobacco use (Z72.0)

H66

Suppurative and unspecified otitis media [+]

Includes:	suppurative and unspecified otitis media with myringitis
Use additional	code to identify:
Use additional	exposure to environmental tobacco smoke (Z77.22)
Use additional	exposure to tobacco smoke in the perinatal period (P96.81)
Use additional	history of tobacco dependence (Z87.891)
Use additional	occupational exposure to environmental tobacco smoke (Z57.31)
Use additional	tobacco dependence (F17.-)
Use additional	tobacco use (Z72.0)

H67

Otitis media in diseases classified elsewhere [+]

Code first	underlying disease, such as: plasminogen deficiency (E88.02) viral disease NEC (B00-B34)
Use additional	code for any associated perforated tympanic membrane (H72.-)
Excludes 1:	otitis media in: influenza (J09.X9, J10.83, J11.83) measles (B05.3) scarlet fever (A38.0) tuberculosis (A18.6)

H68

Eustachian salpingitis and obstruction [+]

H69

Other and unspecified disorders of Eustachian tube [+]

H70

Mastoiditis and related conditions [+]

H71

Cholesteatoma of middle ear [+]

Excludes 2:

cholesteatoma of external ear (H60.4-)
recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)

H72

Perforation of tympanic membrane [+]

Code first	any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)
Includes:	persistent post-traumatic perforation of ear drum postinflammatory perforation of ear drum
Excludes 1:	acute suppurative otitis media with rupture of the tympanic membrane (H66.01-) traumatic rupture of ear drum (S09.2-)

H73

Other disorders of tympanic membrane [+]

H74

Other disorders of middle ear mastoid [+]

Excludes 2:

mastoiditis (H70.-)

H75

Other disorders of middle ear and mastoid in diseases classified elsewhere [+]

Code first

underlying disease