H65.491 Other chronic nonsuppurative otitis media, right ear

Billable ICD-10-CM code, FY2026.

Applies from H65 Nonsuppurative otitis media

Includes

• nonsuppurative otitis media with myringitis

Use additional code

• code for any associated perforated tympanic membrane (H72.-)
• code, if applicable, to identify:
• exposure to environmental tobacco smoke (Z77.22)
• exposure to tobacco smoke in the perinatal period (P96.81)
• history of tobacco dependence (Z87.891)
• infectious agent (B95-B97)
• occupational exposure to environmental tobacco smoke (Z57.31)
• tobacco dependence (F17.-)
• tobacco use (Z72.0)

Applies from H65.49 Other chronic nonsuppurative otitis media

Applicable to

• Chronic exudative otitis media
• Chronic nonsuppurative otitis media NOS
• Chronic otitis media with effusion (nonpurulent)
• Chronic seromucinous otitis media

MS-DRG index

Defines the logic of DRG(s) 152-153 in MDC 03.

Approximate ICD-9-CM (GEMs)

• 381.3 Other and unspecified chronic nonsuppurative otitis media (approximate)

Code annotations containing back-references to H65.491

Back-references to H65

• Code First: B97.4 Respiratory syncytial virus as the cause of diseases classified elsewhere ("otitis media (H65.-)")
• Code First: H72 Perforation of tympanic membrane ("any associated otitis media (H65.-, H66.1-, H66.2-, H66.3-, H66.4-, H66.9-, H67.-)")
• Type 1 Excludes: H73.0 Acute myringitis ("acute myringitis with otitis media (H65, H66)")
• Type 1 Excludes: H73.1 Chronic myringitis ("chronic myringitis with otitis media (H65, H66)")

Nearby codes

• H65.411 Chronic allergic otitis media, right ear
• H65.412 Chronic allergic otitis media, left ear
• H65.413 Chronic allergic otitis media, bilateral
• H65.419 Chronic allergic otitis media, unspecified ear
• H65.49 Other chronic nonsuppurative otitis media
• H65.491 Other chronic nonsuppurative otitis media, right ear (this code)
• H65.492 Other chronic nonsuppurative otitis media, left ear
• H65.493 Other chronic nonsuppurative otitis media, bilateral
• H65.499 Other chronic nonsuppurative otitis media, unspecified ear
• H65.9 Unspecified nonsuppurative otitis media
• H65.90 Unspecified nonsuppurative otitis media, unspecified ear