H66.011
BillableAcute suppurative otitis media with spontaneous rupture of ear drum, right ear
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A painful infection of the middle ear with pus buildup in the right ear where the eardrum has spontaneously ruptured (burst on its own), allowing drainage.
Coding Tips
- •Verify the eardrum rupture was spontaneous (not surgical) and document this in the record
- •Confirm laterality is right ear; if left ear, use H66.012 instead
Code Hierarchy
└H66Suppurative and unspecified otitis media└H66.0Acute suppurative otitis media└H66.01Acute suppurative otitis media with spontaneous rupture of ear drum└H66.011Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
└H66.011Acute suppurative otitis media with spontaneous rupture of ear drum, right ear