ICD-10 H65.194
Billable / SpecificOther acute nonsuppurative otitis media, recurrent, right ear
About ICD-10-CM H65.194
ICD-10-CM code H65.194 represents Other acute nonsuppurative otitis media, recurrent, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H65). The 2026 edition of ICD-10-CM H65.194 became effective on October 1, 2025.
Medicare LCD Coverage for H65.194
Local Coverage Determinations (LCDs) from CMS MACs that list H65.194 as a covered diagnosis.
Showing top 10 of 53 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H65.194.
2 Medicare
CPT Codes Commonly Billed with H65.194
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 H65.194 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 |
|---|---|---|
| H65.194 | 38100 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H65.194
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H65.194, Billing FAQ
Is ICD-10 code H65.194 billable? +
Yes, H65.194 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does H65.194 map to? +
Per CMS GEMs, H65.194 maps to ICD-9 codes: 38100. 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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