ICD-10 Code H65.196 – Other acute nonsuppurative otitis media, recurrent, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H65.196 – Other acute nonsuppurative otitis media, recurrent, bilateral
What it is
This code identifies recurrent acute nonsuppurative inflammation of both middle ears without visible pus. It indicates repeated episodes affecting both sides, but not the suppurative form with drainage.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include ear pain, fullness, reduced hearing, and tympanic membrane inflammation without purulent otorrhea.
When to use this code
Use H65.196 when the record documents recurrent acute nonsuppurative otitis media involving both ears. The note should support recurrence and bilateral involvement. If the provider describes a different otitis media type, laterality, or chronicity, choose the more specific documented diagnosis.
Do not use for
Do not use this code for suppurative otitis media, otitis externa, or a single acute episode without recurrence. Check documentation if the chart does not clearly state bilateral disease.
Coding tip
Confirm both recurrence and bilateral laterality in the provider note before assigning H65.196.