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

ICD-10 H65.411

Billable / Specific

Chronic allergic otitis media, right ear

H65
Block
0
Synonyms
232
LCDs
12
Payer Policies
17
Linked CPTs

About ICD-10-CM H65.411

ICD-10-CM code H65.411 represents Chronic allergic 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 H65.411 became effective on October 1, 2025.

Medicare LCD Coverage for H65.411

Local Coverage Determinations (LCDs) from CMS MACs that list H65.411 as a covered diagnosis.

232 LCDs

Showing top 10 of 232 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 H65.411.

12 policies

5 Medicare

Billing and Coding: Allergy Testing
Policy ID: ART-56558
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

1 Aetna

Bone-Anchored Hearing Aids
Policy ID: CPB-0403

CPT Codes Commonly Billed with H65.411

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

17 linkages
  • 95070 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95052 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95065 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95027 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95018 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 82785 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95017 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95079 CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 0178U CMS LCD: Billing and Coding: Allergy Testing CMS LCD
  • 95028 CMS LCD: Billing and Coding: Allergy Testing CMS LCD

Convert H65.411 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
H65.411 3813 10000

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

Codes Adjacent To H65.411

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

ICD-10 H65.411, Billing FAQ

Is ICD-10 code H65.411 billable? +

Yes, H65.411 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with H65.411? +

Procedures frequently paired with H65.411 include: 95070, 95052, 95065, 95027, 95018.

What ICD-9 codes does H65.411 map to? +

Per CMS GEMs, H65.411 maps to ICD-9 codes: 3813. 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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