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

Diseases of middle ear and mastoid
(H65-H75)

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

H66 Suppurative and unspecified otitis media
Includes: with myringitis
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
Benign chronic suppurative otitis media
Chronic tubotympanic disease
H66.2 Chronic atticoantral suppurative otitis media
Chronic atticoantral disease
H66.3 Other chronic suppurative otitis media
Chronic suppurative otitis media NOS
H66.4 Suppurative otitis media, unspecified
Purulent otitis media NOS
H66.9 Otitis media, unspecified
Otitis media:
· NOS
· acute NOS
· chronic NOS

H67* Otitis media in diseases classified elsewhere
H67.0* Otitis media in bacterial diseases classified elsewhere
Otitis media in:
· scarlet fever ( A38+ )
· tuberculosis ( A18.6+ )
H67.1* Otitis media in viral diseases classified elsewhere
Otitis media in:
· influenza ( J09-J11+ )
· 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
Compression
Stenosis
Stricture
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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
Abscess
Empyema
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of mastoid
H70.1 Chronic mastoiditis
Caries
Fistula
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of mastoid
H70.2 Petrositis
Inflammation of petrous bone (acute)(chronic)
H70.8 Other mastoiditis and related conditions
H70.9 Mastoiditis, unspecified

H71 Cholesteatoma of middle ear
Cholesteatoma tympani
Excludes: cholesteatoma of external ear ( H60.4 )
recurrent cholesteatoma of postmastoidectomy cavity ( H95.0 )

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

H73 Other disorders of tympanic membrane
H73.0 Acute myringitis
Acute tympanitis
Bullous myringitis
Excludes: with otitis media ( H65-H66 )
H73.1 Chronic myringitis
Chronic tympanitis
Excludes: 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
Adhesive otitis
Excludes: glue ear ( H65.3 )
H74.2 Discontinuity and dislocation of ear ossicles
H74.3 Other acquired abnormalities of ear ossicles
Ankylosis
Partial loss
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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
Tuberculous mastoiditis ( A18.0+ )
H75.8* Other specified disorders of middle ear and mastoid in diseases classified elsewhere