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H66.019

Billable

Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified 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, but the specific ear is not documented.

Coding Tips

  • Use this code only when laterality cannot be determined from documentation
  • Query the provider if possible to determine which ear(s) are affected for more specific coding

Code Hierarchy

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