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H66.015

Billable

Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear

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

What This Code Means

A painful ear infection with pus buildup that causes the eardrum to rupture on its own, occurring multiple times in the left ear.

Coding Tips

  • The '015' suffix indicates recurrent episodes in the left ear; verify documentation confirms multiple occurrences
  • Confirm the eardrum rupture was spontaneous (not surgical) and that suppuration (pus) was present

Code Hierarchy

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