Ac suppr otitis media w spon rupt ear drum, recur, unsp ear

This code signifies a recurring, acute bacterial infection of the middle ear that has led to a spontaneous perforation of the tympanic membrane. The specific ear affected is not documented.

Apply this code when documentation indicates a patient is experiencing repeated episodes of acute suppurative otitis media, and the tympanic membrane has ruptured without surgical intervention during these recurrent infections. This code is appropriate when the medical record does not specify laterality (left or right ear).

• Ensure documentation clearly states "recurrent" and "spontaneous rupture" of the ear drum.
• Do not use if the rupture was surgically induced (e.g., myringotomy).
• If laterality is specified (left or right ear), use the more specific codes H66.011 or H66.012.