ICD-10 Code H65.19 – Other acute nonsuppurative otitis media (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H65.19 – Other acute nonsuppurative otitis media
What it is
H65.19 identifies an acute middle-ear inflammation without pus, when the record specifies another acute nonsuppurative otitis media not named elsewhere. Use it for nonpurulent ear infection documentation that fits this category.
Clinical signs
Common findings include ear pain, a feeling of fullness, reduced hearing, and a bulging or red tympanic membrane. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents an acute nonsuppurative otitis media and the case is not better described by a more specific ICD-10 code. It may apply when the note states a nonpurulent middle-ear infection, acute serous otitis media, or another specified acute nonsuppurative form. Check documentation for laterality and specificity.
Do not use for
Do not use it for suppurative otitis media, chronic otitis media, or otitis media with rupture or drainage. If the chart does not clearly support an acute nonsuppurative diagnosis, check documentation.
Coding tip
Assign H65.19 only when the provider’s wording supports an acute nonsuppurative middle-ear infection and no more specific code is documented.