ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H65.21

Billable / Specific

Chronic serous otitis media, right ear

H65
Block
0
Synonyms
190
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM H65.21

ICD-10-CM code H65.21 represents Chronic serous otitis media, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H65). The 2026 edition of ICD-10-CM H65.21 became effective on October 1, 2025.

Medicare LCD Coverage for H65.21

Local Coverage Determinations (LCDs) from CMS MACs that list H65.21 as a covered diagnosis.

190 LCDs

Showing top 10 of 190 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 82785 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 86003 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H65.21.

9 policies

5 Medicare

Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Vestibular and Audiologic Function Studies
Policy ID: ART-57434
Billing and Coding: Allergy Testing
Policy ID: ART-57473
Billing and Coding: Allergy Diagnostic Testing
Policy ID: ART-60360

CPT Codes Commonly Billed with H65.21

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H65.21

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 H65.21 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H65.21 38110 10000
H65.21 38119 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To H65.21

Other codes in section H65-H75 (Diseases of middle ear and mastoid).

ICD-10 H65.21, Billing FAQ

Is ICD-10 code H65.21 billable? +

Yes, H65.21 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H65.21 map to? +

Per CMS GEMs, H65.21 maps to ICD-9 codes: 38110, 38119. 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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