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H65.196

Billable

Other acute nonsuppurative otitis media, recurrent, bilateral

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Recurrent fluid buildup in the middle ear without infection affecting both ears, occurring multiple times.

Coding Tips

  • •Confirm bilateral involvement is explicitly documented before assigning this code
  • •Document the frequency and pattern of recurrence to support medical necessity

Code Hierarchy

└H65Nonsuppurative otitis media└H65.1Other acute nonsuppurative otitis media└H65.19Other acute nonsuppurative otitis media└H65.196Other acute nonsuppurative otitis media, recurrent, bilateral
└H65.196Other acute nonsuppurative otitis media, recurrent, bilateral

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