ICD-10 Code H66.014 – Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H66.014 – Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear
What it is
This code identifies a recurrent, acute bacterial middle ear infection in the right ear with pus and a spontaneous eardrum rupture. Use it when the documentation clearly states all of those elements.
Clinical signs
Typical findings include ear pain, drainage after eardrum rupture, hearing change, and middle ear inflammation. Clinical features vary; refer to documentation.
When to use this code
Use H66.014 when the provider documents recurrent acute suppurative otitis media affecting the right ear and notes spontaneous tympanic membrane rupture. It is appropriate for encounter notes, problem lists, or discharge diagnoses that match the full description. Check documentation if laterality or recurrence is unclear.
Do not use for
Do not use this code for otitis media without rupture, nonrecurrent episodes, or disease in another ear. If the record does not specify right ear or recurrence, check documentation.
Coding tip
Always verify recurrence, laterality, and spontaneous rupture before assigning H66.014.