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H66.016

Billable

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

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 both ears.

Coding Tips

  • •The '016' suffix indicates bilateral (both ears) involvement with recurrent episodes
  • •Document should specify that both ears are affected with recurrent spontaneous ruptures

Code Hierarchy

└H66Suppurative and unspecified otitis media└H66.0Acute suppurative otitis media└H66.01Acute suppurative otitis media with spontaneous rupture of ear drum└H66.016Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral
└H66.016Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral

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