ICD-10 H65.116
Billable / SpecificAcute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
About ICD-10-CM H65.116
ICD-10-CM code H65.116 represents Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral. This is a billable/specific code in the Ear and Mastoid Process chapter (block H65). The 2026 edition of ICD-10-CM H65.116 became effective on October 1, 2025.
Medicare LCD Coverage for H65.116
Local Coverage Determinations (LCDs) from CMS MACs that list H65.116 as a covered diagnosis.
Showing top 10 of 171 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H65.116.
5 Medicare
CPT Codes Commonly Billed with H65.116
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert H65.116 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| H65.116 | 38102 | 10000 |
| H65.116 | 38103 | 10000 |
| H65.116 | 38104 | 10000 |
| H65.116 | 38105 | 10000 |
| H65.116 | 38106 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H65.116
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H65.116, Billing FAQ
Is ICD-10 code H65.116 billable? +
Yes, H65.116 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H65.116 map to? +
Per CMS GEMs, H65.116 maps to ICD-9 codes: 38102, 38103, 38104, 38105, 38106. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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