H66.017
BillableAcute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This code describes a recurring ear infection with pus buildup that causes the eardrum to rupture on its own, but the specific ear affected is not documented. The infection is acute (sudden onset) rather than chronic.
Coding Tips
- •Verify documentation specifies 'recurrent' episodes and 'spontaneous rupture' before assigning this code; if the ear is documented as right, left, or bilateral, use the more specific code (H66.011 or H66.012) instead of the unspecified version
- •This code includes both the acute suppurative otitis media diagnosis and the spontaneous perforation, so do not code the perforation separately
Code Hierarchy
└H66Suppurative and unspecified otitis media└H66.0Acute suppurative otitis media└H66.01Acute suppurative otitis media with spontaneous rupture of ear drum└H66.017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
└H66.017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear