H65.4: Other chronic nonsuppurative otitis media

You have had an inflammation of the middle ear for a long time.

The ear consists of 3 sections: the outer ear, the middle ear, and the inner ear. The eardrum separates the outer ear from the middle ear. In the middle ear there are tiny bones that are important for one’s hearing. The bones transmit sounds to the inner ear. There is a connection between the middle ear and the throat. This allows air to get to the middle ear.

If your middle ear is inflamed for a long time, your hearing gets worse. Fluid may be repeatedly discharged from the ear. The fluid may be clear, slimy or purulent. The ear may be painful.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information


This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.


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