Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

Rules Conventions GCS

Diseases of middle ear and mastoid
(H65-H75)

H65 Nonsuppurative otitis media

Incl.:
with myringitis
Coding-Hint
Use additional code ( H72.-) , if desired, to identify presence of perforated tympanic membrane.
H65.0 Acute serous otitis media
Incl.:
Acute and subacute secretory otitis media
H65.1 Other acute nonsuppurative otitis media
Incl.:
Otitis media, acute and subacute:
  • allergic (mucoid)(sanguinous)(serous)
  • mucoid
  • nonsuppurative NOS
  • sanguinous
  • seromucinous
Excl.:
otitic barotrauma ( T70.0)
otitis media (acute) NOS ( H66.9)
H65.2 Chronic serous otitis media
Incl.:
Chronic tubotympanal catarrh
H65.3 Chronic mucoid otitis media
Incl.:
Glue ear
Otitis media, chronic:
  • mucinous
  • secretory
  • transudative
Excl.:
adhesive middle ear disease ( H74.1)
H65.4 Other chronic nonsuppurative otitis media
Incl.:
Otitis media, chronic:
  • allergic
  • exudative
  • nonsuppurative NOS
  • seromucinous
  • with effusion (nonpurulent)
H65.9 Nonsuppurative otitis media, unspecified
Incl.:
Otitis media:
  • allergic
  • catarrhal
  • exudative
  • mucoid
  • secretory
  • seromucinous
  • serous
  • transudative
  • with effusion (nonpurulent)

H66 Suppurative and unspecified otitis media

Incl.:
with myringitis
Coding-Hint
Use additional code ( H72.-) , if desired, to identify presence of perforated tympanic membrane.
H66.0 Acute suppurative otitis media
H66.1 Chronic tubotympanic suppurative otitis media
Incl.:
Benign chronic suppurative otitis media
Chronic tubotympanic disease
H66.2 Chronic atticoantral suppurative otitis media
Incl.:
Chronic atticoantral disease
H66.3 Other chronic suppurative otitis media
Incl.:
Chronic suppurative otitis media NOS
H66.4 Suppurative otitis media, unspecified
Incl.:
Purulent otitis media NOS
H66.9 Otitis media, unspecified
Incl.:
Otitis media:
  • NOS
  • acute NOS
  • chronic NOS

H67* Otitis media in diseases classified elsewhere

H67.0* Otitis media in bacterial diseases classified elsewhere
Incl.:
Otitis media in:
H67.1* Otitis media in viral diseases classified elsewhere
Incl.:
Otitis media in:
  • influenza:
    • —  seasonal virus identified (J10.8†)
    • —  virus not identified (J11.8†)
    • —  zoonotic or pandemic influenza virus identified (J09†)
  • measles (B05.3†)
H67.8* Otitis media in other diseases classified elsewhere

H68 Eustachian salpingitis and obstruction

H68.0 Eustachian salpingitis
H68.1 Obstruction of Eustachian tube
Incl.:
  • Compression
  • Stenosis
  • Stricture
  • of Eustachian tube

H69 Other disorders of Eustachian tube

H69.0 Patulous Eustachian tube
H69.8 Other specified disorders of Eustachian tube
H69.9 Eustachian tube disorder, unspecified

H70 Mastoiditis and related conditions

H70.0 Acute mastoiditis
Incl.:
  • Abscess
  • Empyema
  • of mastoid
H70.1 Chronic mastoiditis
Incl.:
  • Caries
  • Fistula
  • of mastoid
H70.2 Petrositis
Incl.:
Inflammation of petrous bone (acute)(chronic)
H70.8 Other mastoiditis and related conditions
H70.9 Mastoiditis, unspecified

H71 Cholesteatoma of middle ear

Incl.:
Cholesteatoma tympani
Excl.:
cholesteatoma of external ear ( H60.4)
recurrent cholesteatoma of postmastoidectomy cavity ( H95.0)

H72 Perforation of tympanic membrane

Incl.:
perforation of ear drum:
  • persistent post-traumatic
  • postinflammatory
Excl.:
traumatic rupture of ear drum ( S09.2)
H72.0 Central perforation of tympanic membrane
H72.1 Attic perforation of tympanic membrane
Incl.:
Perforation of pars flaccida
H72.2 Other marginal perforations of tympanic membrane
H72.8 Other perforations of tympanic membrane
Incl.:
  • Perforation(s):
    • multiple
    • total
  • of tympanic membrane
H72.9 Perforation of tympanic membrane, unspecified

H73 Other disorders of tympanic membrane

H73.0 Acute myringitis
Incl.:
Acute tympanitis
Bullous myringitis
Excl.:
with otitis media ( H65-H66)
H73.1 Chronic myringitis
Incl.:
Chronic tympanitis
Excl.:
with otitis media ( H65-H66)
H73.8 Other specified disorders of tympanic membrane
H73.9 Disorder of tympanic membrane, unspecified

H74 Other disorders of middle ear and mastoid

H74.0 Tympanosclerosis
H74.1 Adhesive middle ear disease
Incl.:
Adhesive otitis
Excl.:
glue ear ( H65.3)
H74.2 Discontinuity and dislocation of ear ossicles
H74.3 Other acquired abnormalities of ear ossicles
Incl.:
  • Ankylosis
  • Partial loss
  • of ear ossicles
H74.4 Polyp of middle ear
H74.8 Other specified disorders of middle ear and mastoid
H74.9 Disorder of middle ear and mastoid, unspecified

H75* Other disorders of middle ear and mastoid in diseases classified elsewhere

H75.0* Mastoiditis in infectious and parasitic diseases classified elsewhere
Incl.:
Tuberculous mastoiditis ( A18.0†)
H75.8* Other specified disorders of middle ear and mastoid in diseases classified elsewhere