ICD-10 Code H65.06 – Acute serous otitis media, recurrent, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H65.06 – Acute serous otitis media, recurrent, bilateral
What it is
Use this code for a recurrent episode of acute serous otitis media affecting both ears. It indicates middle-ear fluid without acute bacterial suppuration, documented as bilateral and recurring.
Clinical signs
Typical findings include bilateral middle-ear effusion, ear fullness, muffled hearing, or a conductive hearing complaint. Clinical features vary; refer to documentation.
When to use this code
Assign H65.06 when the record clearly states acute serous otitis media, recurrent, and bilateral. Use it for provider-documented episodes involving both ears, even if the note emphasizes effusion rather than pain. If laterality or recurrence is not documented, check documentation before coding.
Do not use for
Do not use this code for nonspecific otitis media, acute suppurative otitis media, or unilateral disease. If the chart does not support recurrence or bilateral involvement, choose a more accurate code.
Coding tip
Confirm all three elements—acute, recurrent, and bilateral—before assigning H65.06.