Otitis-media-codes-for-pharmacy-first (clone)

Coding system: SNOMED CT (UK Clinical Edition)
Coding system release: 42.1.0
Organisation: Pharmacy First project
Codelist ID: pharmacy-first-project/otitis-media-codes-for-pharmacy-first-clone
Version ID: 3280d01d
Number of codes included: 149

Versions

Description

Codes that a GP could use to record that a patient has otitis media (middle ear infection), but not other conditions that might present with 'ear ache'.

Updated with new codes June 10 ,2026

Methodology

Cloned from codelist : Otitis-media-but-NOT-related-conditions-for-pharmacy-first Context:

For the Pharmacy First project

Inclusion/exclusion criteria:

Cloned from codelist : otitis media Searched for otitis media. Initially viral otitis media was excluded, but these codes were added back in given that 20-50% of cases of otitis media are viral and the organism causing the problem cannot usually be determined on clinical presentation.

The following codes were added: Haemophilus influenzae otitis media 19021002 Otitis media caused by influenza virus 10624951000119108 Otitis media caused by Influenza A virus 10674911000119108 Otitis media due to disease caused by severe acute respiratory syndrome coronavirus 2 1240521000000100 [X]Otitis media in viral diseases classified elsewhere 418821000000108 X]Otitis media in viral diseases classified elsewhere 194679008

The following codes were removed: History of otitis media 427836008, Adhesive middle ear disease and Adhesive otitis media (chronic), Acute myringitis without otitis media, chronic otitis media (see the reference link)

Borderline cases: See comment on sensitivity vs specificity

Sensitivity vs specificity: We decided to be reasonably specific by including codes that represent otitis media, but not wider presentations with 'ear ache' due to other causes.

Additional information: This codelist excluded most chronic designations to remain consistent with "Acute" presentations of "Otitis media" used in the Pharmacy First service. Therefore, the included codes are intended to capture acute otitis media, as specified in both NHS England in the Pharmacy First service and the Community Pharmacy Advanced Service Specification: NHS Pharmacy First Service(NHS Pharmacy First – clinical pathways pdf)

References

Signed off by

Arnaud Iradukunda, (May 18, 2026)
Tony Avery, (June 11, 2026)

Codelists are developed by a broad community of users for individual study purposes, which may or may not meet the needs of other studies. They should not be thought of as universal definitions of a particular condition.

We don't offer any guarantees about what they do or don't identify. Users should carefully check that any codelist meets their needs, and seek clinical input where appropriate.

code	term
10624911000119107	Otitis media caused by Influenza A virus subtype H1N1
10624951000119108	Otitis media caused by influenza virus
10674911000119108	Otitis media caused by Influenza A virus
1078250000	Recurrent otitis media
1082561000119104	Recurrent acute suppurative otitis media with spontaneous rupture of ear drum
1082871000119108	Acute allergic otitis media of bilateral middle ears
1082911000119106	Acute inflammation of bilateral pharyngotympanic tubes
1082951000119107	Acute mucoid otitis media of bilateral middle ears
1083051000119102	Recurrent acute serous otitis media of bilateral middle ears
1083061000119100	Spontaneous rupture of tympanic membranes of bilateral ears co-occurrent and due to recurrent acute suppurative otitis media
1083071000119106	Acute sanguinous inflammation of bilateral middle ears
1084181000119107	Nonsuppurative otitis media of bilateral middle ears
1087981000119103	Acute allergic otitis media of left middle ear
1088021000119100	Acute inflammation of left pharyngotympanic tube
1088061000119105	Acute mucoid otitis media of left middle ear
1088161000119109	Acute recurrent allergic otitis media of left middle ear
1088181000119100	Spontaneous rupture of tympanic membrane of left ear co-occurrent and due to recurrent acute suppurative otitis media
1088191000119102	Acute sanguineous otitis media of left middle ear
1088201000119104	Acute allergic serous otitis media of left middle ear
1089251000119108	Nonsuppurative otitis media of left middle ear
1089341000119100	Otitis media of left ear
1090001000119105	Otitis media due to scarlet fever
1090601000119102	Acute allergic otitis media of right middle ear
1090641000119100	Acute inflammation of right pharyngotympanic tube
1090681000119105	Acute mucoid otitis media of right middle ear
1090771000119103	Acute recurrent allergic otitis media of right middle ear
1090791000119102	Spontaneous rupture of tympanic membrane of right ear co-occurrent and due to recurrent acute suppurative otitis media
1090801000119101	Acute sanguineous otitis media of right middle ear
1090811000119103	Acute allergic serous otitis media of right middle ear
1091861000119109	Nonsuppurative otitis media of right middle ear
1091951000119104	Otitis media of right ear
11957006	Acute serous otitis media
1240521000000100	Otitis media due to disease caused by severe acute respiratory syndrome coronavirus 2
1259113002	Cerebrospinal fluid otorrhea due to otitis media
13420004	Post measles otitis media
1344896004	Suppurative otitis media of left ear
1344897008	Suppurative otitis media of right ear
1365625006	Acute recurrent allergic otitis media
1381823000	Subacute otitis media with effusion
1381894004	Otitis media caused by Pseudomonas aeruginosa
14852000	Myringitis
14948001	Acute suppurative otitis media without spontaneous rupture of ear drum
154341002	Postmeasles otitis media
155217006	Nonsuppurative otitis media (& [ left] or [right])
155218001	Acute non-suppurative otitis media
155219009	Otitis media with effusion - serous
155222006	Otitis media NOS
155225008	Suppurative otitis media &/or ([left] or [right]) &/or purulent otitis media
155226009	Acute suppurative otitis media
155229002	Purulent otitis media NOS
17866004	Acute allergic sanguineous otitis media
186560001	Postmeasles otitis media
19021002	Haemophilus influenzae otitis media
19399000	Acute exudative otitis media
194237006	Non-suppurative otitis media with eustachian tube disorder
194238001	Acute non-suppurative otitis media
194239009	Acute otitis media: [with effusion] or [secretory]
194240006	Acute non-suppurative serous otitis media
194241005	Acute allergic serous otitis media
194242003	Acute allergic mucoid otitis media
194243008	Acute allergic sanguinous otitis media
194244002	Acute non-suppurative otitis media NOS
194245001	Otitis media with effusion - serous
194258000	Otitis media with effusion - purulent
194260003	Unspecified non-suppurative otitis media
194261004	Allergic otitis media NOS
194262006	Serous otitis media NOS
194263001	Catarrhal otitis media NOS
194264007	Mucoid otitis media NOS
194265008	Non-suppurative otitis media NOS
194280002	Suppurative and unspecified otitis media
194281003	Acute suppurative otitis media
194282005	Acute suppurative otitis media due to another disease
194283000	Acute suppurative otitis media NOS
194285007	Purulent otitis media NOS
194286008	Bilateral suppurative otitis media
194287004	Recurrent acute otitis media
194288009	Acute left otitis media
194289001	Acute right otitis media
194290005	Acute bilateral otitis media
194675002	[X]Other acute non-suppurative otitis media
194678000	[X]Otitis media in bacterial diseases classified elsewhere
194679008	[X]Otitis media in viral diseases classified elsewhere
194680006	[X]Otitis media in other diseases classified elsewhere
1980003	Seromucinous otitis media
212944003	(Barotrauma, otitic) or (aero-otitis media) or (effect of high altitude on ears)
232245002	Granular myringitis
232251007	Recurrent acute suppurative otitis media
232252000	Recurrent acute non-suppurative otitis media
232255003	Otitis media with effusion
232256002	Otitis media with sanguineous effusion
241981008	Barotitis media
26169004	Allergic otitis media
267669008	Otitis media NOS
267753007	Nonsuppurative otitis media (& [ left] or [right])
267758003	Suppurative otitis media &/or ([left] or [right]) &/or purulent otitis media
270490007	Acute otitis media with effusion
275481002	Non-suppurative otitis media
28795002	Subacute exudative otitis media
290051000119103	Recurrent acute suppurative otitis media of bilateral middle ears
29350000	Catarrhal otitis media
297009	Acute myringitis
3110003	Acute otitis media
312218008	Infective otitis media
32760002	Exudative otitis media
330981002	Otitis media [no drugs here]
33528003	Bullous myringitis
35183001	Acute transudative otitis media
359609001	Acute non-suppurative otitis media
360595002	Acute necrotizing otitis media
36958006	Acute nonsuppurative otitis media
39288006	Purulent otitis media
418821000000108	[X]Otitis media in viral diseases classified elsewhere
420141000000100	[X]Otitis media in other diseases classified elsewhere
42337005	Acute suppurative otitis media
43481006	Secretory otitis media
444121000000104	[X]Other acute non-suppurative otitis media
456381000000109	[X]Otitis media in bacterial diseases classified elsewhere
45935001	Nonsuppurative otitis media
52353000	Acute mucoid otitis media
539851000000106	Suppurative and unspecified otitis media
539871000000102	Acute suppurative otitis media NOS
539881000000100	Purulent otitis media NOS
59275002	Acute allergic serous otitis media
600041000000109	Catarrhal otitis media NOS
600051000000107	Non-suppurative otitis media NOS
606871000000108	Unspecified non-suppurative otitis media
606881000000105	Allergic otitis media NOS
621131000000104	Acute non-suppurative otitis media NOS
62450001	Mucoid otitis media
643741000000108	Serous otitis media NOS
643751000000106	Mucoid otitis media NOS
647141000000100	Otitis media NOS
65363002	Otitis media
6965008	Subacute nonsuppurative otitis media
703469002	Bacterial otitis media
721742004	Otitis media caused by Streptococcus pneumoniae
7271000119107	Acute bilateral otitis media with effusion
7361000119105	Perforation of tympanic membrane due to otitis media
77478005	Acute sanguineous otitis media
789057009	Tuberculosis of middle ear
80327007	Serous otitis media
8304007	Acute seromucinous otitis media
8326008	Acute allergic mucoid otitis media
84261000119106	Acute persistent otitis media
85940005	Tuberculosis of middle ear
86279000	Acute suppurative otitis media with spontaneous rupture of ear drum
86359006	Subacute transudative otitis media
89145009	Subacute tubotympanic catarrh

This page shows the search terms that were used to build the codelist. Concepts that match the search terms, but which were excluded, are in faint grey.

otitis media

Included 141 out of 236 matching concepts.

Show matching concepts

(Barotrauma, otitic) or (aero-otitis media) or (effect of high altitude on ears) (212944003)
(Glue ear) or (mucoid otitis media [& chronic]) (155220003)
(Glue ear) or (mucoid otitis media [& chronic]) (267754001)
Acute allergic mucoid otitis media (8326008)
Acute allergic mucoid otitis media (194242003)
Acute allergic otitis media of bilateral middle ears (1082871000119108)
Acute allergic otitis media of left middle ear (1087981000119103)
Acute allergic otitis media of right middle ear (1090601000119102)
Acute allergic sanguineous otitis media (17866004)
Acute allergic sanguinous otitis media (194243008)
Acute allergic serous otitis media (59275002)
Acute allergic serous otitis media (194241005)
Acute allergic serous otitis media of left middle ear (1088201000119104)
Acute allergic serous otitis media of right middle ear (1090811000119103)
Acute bilateral otitis media (194290005)
Acute bilateral otitis media with effusion (7271000119107)
Acute exudative otitis media (19399000)
Acute left otitis media (194288009)
Acute mucoid otitis media (52353000)
Acute mucoid otitis media of bilateral middle ears (1082951000119107)
Acute mucoid otitis media of left middle ear (1088061000119105)
Acute mucoid otitis media of right middle ear (1090681000119105)
Acute myringitis without otitis media (194311006)
Acute necrotizing otitis media (360595002)
Acute non-suppurative otitis media (194238001)
Acute non-suppurative otitis media (359609001)
Acute non-suppurative otitis media (155218001)
Acute non-suppurative otitis media NOS (194244002)
Acute non-suppurative otitis media NOS (621131000000104)
Acute non-suppurative serous otitis media (194240006)
Acute nonsuppurative otitis media (36958006)
Acute otitis media (3110003)
Acute otitis media with effusion (270490007)
Acute otitis media: [with effusion] or [secretory] (194239009)
Acute persistent otitis media (84261000119106)
Acute recurrent allergic otitis media (1365625006)
Acute recurrent allergic otitis media of left middle ear (1088161000119109)
Acute recurrent allergic otitis media of right middle ear (1090771000119103)
Acute right otitis media (194289001)
Acute sanguineous otitis media (77478005)
Acute sanguineous otitis media of left middle ear (1088191000119102)
Acute sanguineous otitis media of right middle ear (1090801000119101)
Acute sanguinous inflammation of bilateral middle ears (1083071000119106)
Acute seromucinous otitis media (8304007)
Acute serous otitis media (11957006)
Acute suppurative otitis media (155226009)
Acute suppurative otitis media (42337005)
Acute suppurative otitis media (194281003)
Acute suppurative otitis media NOS (539871000000102)
Acute suppurative otitis media NOS (194283000)
Acute suppurative otitis media due to another disease (194282005)
Acute suppurative otitis media with spontaneous rupture of ear drum (86279000)
Acute suppurative otitis media without spontaneous rupture of ear drum (14948001)
Acute transudative otitis media (35183001)
Acute tubotympanic catarrh (85108007)
Adhesive middle ear disease (7699004)
Adhesive middle ear disease with adhesions of drum head to incus (31700001)
Adhesive middle ear disease with adhesions of drum head to promontorium (39222009)
Adhesive middle ear disease with adhesions of drum head to stapes (20916007)
Adhesive otitis media of bilateral middle ears (1083121000119106)
Adhesive otitis media of left middle ear (1088241000119102)
Adhesive otitis media of right middle ear (1090851000119102)
Allergic otitis media (26169004)
Allergic otitis media NOS (194261004)
Allergic otitis media NOS (606881000000105)
Atelectasis of tympanic membrane due to adhesive otitis media (1343667005)
Atelectasis of tympanic membrane due to chronic otitis media with effusion (1343666001)
Aural barotrauma of ascent (242002003)
Aural barotrauma of descent (241979006)
Bacterial otitis media (703469002)
Barotitis media (241981008)
Barotraumatic eustachian tube dysfunction (232259009)
Bilateral chronic serous otitis (194248004)
Bilateral suppurative otitis media (194286008)
Catarrhal otitis media (29350000)
Catarrhal otitis media NOS (194263001)
Catarrhal otitis media NOS (600041000000109)
Cerebrospinal fluid otorrhea due to otitis media (1259113002)
Chronic allergic otitis media (194257005)
Chronic allergic otitis media (71958004)
Chronic allergic otitis media of bilateral middle ears (1083261000119107)
Chronic allergic otitis media of left middle ear (1088391000119100)
Chronic allergic otitis media of right middle ear (1091001000119104)
Chronic atticoantral suppurative otitis media (41954005)
Chronic atticoantral suppurative otitis media of bilateral middle ears (1083271000119101)
Chronic atticoantral suppurative otitis media of left middle ear (1088401000119103)
Chronic atticoantral suppurative otitis media of right middle ear (1091011000119101)
Chronic exudative otitis media (43561008)
Chronic mucoid otitis media (78868004)
Chronic mucoid otitis media NOS (194254003)
Chronic mucoid otitis media NOS (621141000000108)
Chronic mucoid otitis media of bilateral middle ears (1083331000119106)
Chronic mucoid otitis media of left middle ear (1088461000119102)
Chronic mucoid otitis media of right middle ear (1091071000119109)
Chronic non-suppurative otitis media (232254004)
Chronic non-suppurative otitis media NOS (267757008)
Chronic non-suppurative otitis media NOS (155224007)
Chronic non-suppurative otitis media NOS (679421000000109)
Chronic non-suppurative otitis media with effusion - mucoid (267668000)
Chronic non-suppurative otitis media without effusion (232257006)
Chronic otitis media (21186006)
Chronic otitis media after insertion of tympanic ventilation tube (429767005)
Chronic otitis media of bilateral ears following insertion of tympanic ventilation tube (1083401000119107)
Chronic otitis media of left ear following insertion of tympanic ventilation tube (1088531000119109)
Chronic otitis media of right ear following insertion of tympanic ventilation tube (1091141000119103)
Chronic otitis media with effusion (1343699004)
Chronic otitis media with effusion, other (194256001)
Chronic otitis media with effusion, other (621151000000106)
Chronic otitis media with effusion, unspecified (619661000000107)
Chronic otitis media with effusion, unspecified (194276007)
Chronic otitis media with perforation of tympanic membrane (1379958006)
Chronic otitis media with sanguineous effusion (449839003)
Chronic purulent otitis media (38394007)
Chronic secretory otitis media (73788006)
Chronic seromucinous otitis media (58194007)
Chronic serosanguineous otitis media of bilateral middle ears (1083421000119103)
Chronic serosanguineous otitis media of left middle ear (1088551000119103)
Chronic serosanguineous otitis media of right middle ear (1091161000119104)
Chronic serous otitis media (81564005)
Chronic serous otitis media NOS (194250007)
Chronic serous otitis media NOS (539811000000107)
Chronic serous otitis media of left ear (765152004)
Chronic serous otitis media of right ear (765153009)
Chronic suppurative otitis media (155228005)
Chronic suppurative otitis media (232253005)
Chronic suppurative otitis media NOS (194284006)
Chronic suppurative otitis media NOS (694131000000108)
Chronic suppurative otitis media caused by Aspergillus (1163148001)
Chronic suppurative otitis media of bilateral middle ears (1083431000119100)
Chronic suppurative otitis media of left middle ear (1088571000119107)
Chronic suppurative otitis media of right middle ear (1091181000119108)
Chronic transudative otitis media (1381853007)
Chronic tubotympanic catarrh (38596008)
Chronic tubotympanic disease with anterior perforation of ear drum (34790005)
Chronic tubotympanic suppurative otitis media (87665008)
Chronic tubotympanic suppurative otitis media of bilateral middle ears (15979311000119100)
Chronic tubotympanic suppurative otitis media of left middle ear (1088581000119105)
Chronic tubotympanic suppurative otitis media of right middle ear (1091191000119106)
Ear infection &/or otitis media NOS (194291009)
Exudative otitis media (32760002)
Haemophilus influenzae otitis media (19021002)
History of otitis media (427836008)
Infective otitis media (312218008)
Malignant otitis media (16664009)
Mucoid otitis media (62450001)
Mucoid otitis media NOS (643751000000106)
Mucoid otitis media NOS (194264007)
Mucosanguinous chronic otitis media (194253009)
Mucosanguinous chronic otitis media (6485001)
Non-suppurative otitis media (275481002)
Non-suppurative otitis media NOS (194265008)
Non-suppurative otitis media NOS (600051000000107)
Non-suppurative otitis media with eustachian tube disorder (194237006)
Nonsuppurative otitis media (45935001)
Nonsuppurative otitis media (& [ left] or [right]) (267753007)
Nonsuppurative otitis media (& [ left] or [right]) (155217006)
Nonsuppurative otitis media of bilateral middle ears (1084181000119107)
Nonsuppurative otitis media of left middle ear (1089251000119108)
Nonsuppurative otitis media of right middle ear (1091861000119109)
Other chronic non-suppurative otitis media NOS (672011000000100)
Other chronic non-suppurative otitis media NOS (194259008)
Otitic barotrauma (49252004)
Otitic barotrauma of left ear (42281000087108)
Otitic barotrauma of right ear (42291000087105)
Otitis media (65363002)
Otitis media NOS (267669008)
Otitis media NOS (647141000000100)
Otitis media NOS (155222006)
Otitis media [no drugs here] (330981002)
Otitis media caused by Influenza A virus (10674911000119108)
Otitis media caused by Influenza A virus subtype H1N1 (10624911000119107)
Otitis media caused by Pseudomonas aeruginosa (1381894004)
Otitis media caused by Streptococcus pneumoniae (721742004)
Otitis media caused by influenza virus (10624951000119108)
Otitis media due to disease caused by severe acute respiratory syndrome coronavirus 2 (1240521000000100)
Otitis media due to scarlet fever (1090001000119105)
Otitis media of left ear (1089341000119100)
Otitis media of right ear (1091951000119104)
Otitis media with effusion (232255003)
Otitis media with effusion &/or chronic secretory mucoid (194251006)
Otitis media with effusion - purulent (194258000)
Otitis media with effusion - serous (194245001)
Otitis media with effusion - serous (155219009)
Otitis media with sanguineous effusion (232256002)
Perforation of tympanic membrane due to otitis media (7361000119105)
Post measles otitis media (13420004)
Postmeasles otitis media (186560001)
Postmeasles otitis media (154341002)
Purulent otitis media (39288006)
Purulent otitis media NOS (539881000000100)
Purulent otitis media NOS (194285007)
Purulent otitis media NOS (155229002)
Recurrent acute non-suppurative otitis media (232252000)
Recurrent acute otitis media (194287004)
Recurrent acute serous otitis media of bilateral middle ears (1083051000119102)
Recurrent acute suppurative otitis media (232251007)
Recurrent acute suppurative otitis media of bilateral middle ears (290051000119103)
Recurrent acute suppurative otitis media with spontaneous rupture of ear drum (1082561000119104)
Recurrent otitis media (1078250000)
Secretory otitis media (43481006)
Seromucinous otitis media (1980003)
Serosanguineous chronic otitis media (86850004)
Serosanguineous chronic otitis media (194247009)
Serous otitis media (80327007)
Serous otitis media NOS (194262006)
Serous otitis media NOS (643741000000108)
Spontaneous rupture of tympanic membrane of left ear co-occurrent and due to recurrent acute suppurative otitis media (1088181000119100)
Spontaneous rupture of tympanic membrane of right ear co-occurrent and due to recurrent acute suppurative otitis media (1090791000119102)
Spontaneous rupture of tympanic membranes of bilateral ears co-occurrent and due to recurrent acute suppurative otitis media (1083061000119100)
Subacute exudative otitis media (28795002)
Subacute nonsuppurative otitis media (6965008)
Subacute otitis media with effusion (1381823000)
Subacute transudative otitis media (86359006)
Subacute tubotympanic catarrh (89145009)
Suppurative and unspecified otitis media (539851000000106)
Suppurative and unspecified otitis media (194280002)
Suppurative otitis media &/or ([left] or [right]) &/or purulent otitis media (155225008)
Suppurative otitis media &/or ([left] or [right]) &/or purulent otitis media (267758003)
Suppurative otitis media of left ear (1344896004)
Suppurative otitis media of right ear (1344897008)
Transudative otitis media (1381854001)
Tuberculosis of middle ear (85940005)
Unspecified non-suppurative otitis media (194260003)
Unspecified non-suppurative otitis media (606871000000108)
[X]Other acute non-suppurative otitis media (444121000000104)
[X]Other acute non-suppurative otitis media (194675002)
[X]Other chronic non-suppurative otitis media (194676001)
[X]Other chronic non-suppurative otitis media (414411000000105)
[X]Other chronic suppurative otitis media (194677005)
[X]Other chronic suppurative otitis media (402501000000101)
[X]Otitis media in bacterial diseases classified elsewhere (456381000000109)
[X]Otitis media in bacterial diseases classified elsewhere (194678000)
[X]Otitis media in other diseases classified elsewhere (420141000000100)
[X]Otitis media in other diseases classified elsewhere (194680006)
[X]Otitis media in viral diseases classified elsewhere (418821000000108)
[X]Otitis media in viral diseases classified elsewhere (194679008)