ICD-10 Code H65.193 – Other acute nonsuppurative otitis media, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H65.193 – Other acute nonsuppurative otitis media, bilateral
What it is
H65.193 identifies an acute, nonpus-forming middle ear inflammation affecting both ears. Use it when the record specifies bilateral involvement and does not describe suppuration or a different otitis media subtype.
Clinical signs
Typical findings include ear pain, pressure, muffled hearing, and a visible middle ear effusion. Clinical features vary; refer to documentation for bilateral acute nonsuppurative otitis media.
When to use this code
Assign this code when the provider documents acute nonsuppurative otitis media in both ears, or bilateral middle ear inflammation without pus. It fits cases where the note clearly distinguishes the condition from otitis media with effusion, suppurative otitis media, or chronic disease. Check documentation if laterality or acuity is unclear.
Do not use for
Do not use H65.193 for suppurative otitis media, chronic otitis media, or isolated otitis media with effusion unless the record supports this exact diagnosis. If the note does not confirm bilateral disease, choose a different laterality code.
Coding tip
Confirm both acuity and bilateral laterality in the provider note before coding.