ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 8: Diseases of the ear and mastoid processH61

H61

Billable

Other disorders of external ear

Chapter 8:Diseases of the ear and mastoid process

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H61 is a billable code used to indicate a diagnosis of other disorders of external ear.

Key Diagnostic Point:

The ICD-10 code H61 encompasses a variety of disorders affecting the external ear, which includes the auricle (pinna) and the external auditory canal. Conditions classified under this code may include cerumen impaction, external otitis (swimmer's ear), and other non-specific disorders that do not fall under more specific categories. Clinical presentations can vary widely, from mild discomfort and itching to severe pain and hearing loss. Diagnostic criteria often involve a thorough history and physical examination, including otoscopic evaluation to assess for inflammation, obstruction, or structural abnormalities. Management typically includes conservative measures such as ear cleaning, topical medications, or antibiotics for infections. In some cases, surgical interventions may be necessary to address chronic conditions or complications. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms
  • Differentiation from similar codes (e.g., H60 for external otitis)
  • Potential for co-morbid conditions affecting the ear

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Misuse of H61 when a more specific code is available
  • Failure to document treatment plans
  • Inconsistent coding across encounters

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed notes on examination findings, treatment plans, and follow-up care.

Common Clinical Scenarios

Patients presenting with ear pain, hearing loss, or recurrent ear infections.

Billing Considerations

Ensure documentation reflects the specific nature of the disorder to avoid misclassification.

Primary Care

Documentation Requirements

Comprehensive history and physical exam notes, including patient-reported symptoms.

Common Clinical Scenarios

Routine evaluations for ear complaints, cerumen impaction, or referrals to specialists.

Billing Considerations

Documenting the rationale for referrals and any treatments attempted in primary care.

Coding Guidelines

Inclusion Criteria

Use H61 When
  • According to the official coding guidelines, H61 should be used when the external ear is affected by a disorder that does not have a more specific code
  • Coders must ensure that the documentation supports the use of this code and that it is not a more specific condition

Exclusion Criteria

Do NOT use H61 When
No specific exclusions found.

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Used when cerumen impaction is documented under H61.0.

Documentation Requirements

Document the procedure performed and the indication for cerumen removal.

Specialty Considerations

Otolaryngologists may perform this procedure in an office setting.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collection and reimbursement processes. H61 provides a broader classification for external ear disorders, which can help in identifying trends in ear health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collection and reimbursement processes. H61 provides a broader classification for external ear disorders, which can help in identifying trends in ear health.

Reimbursement & Billing Impact

reimbursement processes. H61 provides a broader classification for external ear disorders, which can help in identifying trends in ear health.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under H61?

H61 includes various disorders of the external ear, such as cerumen impaction, external otitis, and other unspecified conditions affecting the auricle and external auditory canal.