Acute suppr otitis media w/o spon rupt ear drum, recur, bi

This code signifies a recurring, acute bacterial infection of the middle ear in both ears, where the eardrum remains intact. It indicates inflammation and pus formation within the middle ear space without perforation of the tympanic membrane.

Use this code when documentation specifies bilateral, recurrent episodes of acute suppurative otitis media without tympanic membrane rupture. This typically applies to patients experiencing repeated bouts of ear infection symptoms such as otalgia, fever, and hearing loss, where otoscopic examination confirms an inflamed, bulging eardrum without perforation.

• Ensure documentation clearly states "recurrent" and "bilateral" to support this specific code.
• Distinguish from chronic suppurative otitis media (H66.3-) which involves persistent discharge through a tympanic membrane perforation.
• Do not use if there is any mention of spontaneous rupture or perforation of the eardrum; instead, refer to codes within H66.01- or H66.4-.