ICD-10 Code H65.49 – Other chronic nonsuppurative otitis media (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H65.49 – Other chronic nonsuppurative otitis media
What it is
H65.49 identifies chronic middle ear inflammation without pus that does not fit a more specific chronic nonsuppurative otitis media category. Use it when the record clearly supports a chronic, non-suppurative process.
Clinical signs
Typical findings may include persistent middle ear fluid, ear fullness, hearing difficulty, or a history of recurrent ear symptoms. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents chronic nonsuppurative otitis media and does not specify a more exact subtype. It is appropriate for ongoing middle ear inflammation without drainage of pus. If the note only says otitis media, check documentation for chronicity and whether the condition is nonsuppurative.
Do not use for
Do not use this code for acute otitis media, suppurative otitis media, or conditions documented as a different specific chronic middle ear disorder. Check documentation if the type is unclear.
Coding tip
Confirm both chronicity and the absence of suppuration before assigning H65.49.