ICD-10 Code H66.017 – Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H66.017 – Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
What it is
This code identifies a recurrent acute middle ear infection with pus and a spontaneous eardrum rupture, when the affected ear is not specified. It reflects both the infection and the perforation documented by the clinician.
Clinical signs
Typical findings include ear pain, drainage from the ear, and signs of acute infection. Clinical features vary; refer to documentation, especially for laterality and whether the rupture occurred spontaneously.
When to use this code
Use H66.017 when the record clearly states recurrent acute suppurative otitis media with spontaneous tympanic membrane rupture and does not identify right or left ear. You should code it when the provider documents both recurrence and perforation. If the note only says otitis media or does not confirm rupture, check documentation.
Do not use for
Do not use this code for nonsuppurative otitis media, chronic ear disease, or traumatic eardrum perforation. Also avoid it if the ear laterality is documented and a more specific code applies.
Coding tip
Verify that the chart supports recurrence, suppuration, and spontaneous rupture before assigning H66.017.