ICD-10 H67
Non-Billable HeaderOtitis media in diseases classified elsewhere
About ICD-10-CM H67
ICD-10-CM code H67 represents Otitis media in diseases classified elsewhere. This is a non-billable header code in the Ear and Mastoid Process chapter (block H67). The 2026 edition of ICD-10-CM H67 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with H67. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- otitis media in:
- influenza (J09.X9, J10.83, J11.83)
- measles (B05.3)
- scarlet fever (A38.0)
- tuberculosis (A18.6)
Use Additional Code
When coding H67, also report these additional codes when applicable.
- code for any associated perforated tympanic membrane (H72.-)
Coding Notes
Code First
- underlying disease, such as:
- plasminogen deficiency (E88.02)
- viral disease NEC (B00-B34)
Medicare LCD Coverage for H67
Local Coverage Determinations (LCDs) from CMS MACs that list H67 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H67.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H67 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H67
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.
Codes Adjacent To H67
Other codes in section H65-H75 (Diseases of middle ear and mastoid).
ICD-10 H67, Billing FAQ
Is ICD-10 code H67 billable? +
No, H67 is a non-billable header code. Use a more specific child code from block H67 when submitting claims.
What codes are Type 1 Excludes for H67? +
Type 1 Excludes (never code together with H67): otitis media in:; influenza (J09.X9, J10.83, J11.83); measles (B05.3)
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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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