ICD-10 H66.001
Billable / SpecificAcute suppurative otitis media without spontaneous rupture of ear drum, right ear
About ICD-10-CM H66.001
ICD-10-CM code H66.001 represents Acute suppurative otitis media without spontaneous rupture of ear drum, right ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H66). The 2026 edition of ICD-10-CM H66.001 became effective on October 1, 2025.
Medicare LCD Coverage for H66.001
Local Coverage Determinations (LCDs) from CMS MACs that list H66.001 as a covered diagnosis.
Showing top 10 of 65 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H66.001.
2 Medicare
1 Aetna
CPT Codes Commonly Billed with H66.001
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 69436 Tympanostomy tubes bilateral — chronic otitis media, acute otitis media recurrent, serous otitis media, chronic serous OM, eustachian tube dysfunction ENT
Convert H66.001 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 |
|---|---|---|
| H66.001 | 38200 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To H66.001
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H66.001, Billing FAQ
Is ICD-10 code H66.001 billable? +
Yes, H66.001 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 H66.001? +
Procedures frequently paired with H66.001 include: 69436.
What ICD-9 codes does H66.001 map to? +
Per CMS GEMs, H66.001 maps to ICD-9 codes: 38200. 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 June 1, 2026.
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