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v1.0.0
ICD-10 Guide
ICD-10 CodesH61.0

H61.0

Billable

Chondritis and perichondritis of external ear

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

Code Description

ICD-10 H61.0 is a billable code used to indicate a diagnosis of chondritis and perichondritis of external ear.

Key Diagnostic Point:

Chondritis and perichondritis of the external ear are inflammatory conditions affecting the cartilage and surrounding tissues of the ear. Chondritis refers to inflammation of the cartilage itself, while perichondritis involves inflammation of the connective tissue surrounding the cartilage. These conditions can arise from various causes, including trauma, infection, or systemic diseases. Clinically, patients may present with localized pain, swelling, redness, and tenderness of the external ear. In severe cases, there may be associated fever and systemic symptoms. Diagnosis is typically made through clinical examination, and imaging studies may be utilized to rule out abscess formation or other complications. Management often includes antibiotics for infectious causes, anti-inflammatory medications, and in some cases, surgical intervention to drain abscesses or debride necrotic tissue. Chronic cases may require more extensive surgical procedures. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between chondritis and perichondritis
  • Identifying the underlying cause of inflammation
  • Documenting associated systemic symptoms
  • Understanding the need for surgical intervention

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to specify the type of chondritis or perichondritis
  • Misclassification of the condition as a simple infection
  • Lack of follow-up documentation for chronic cases

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes on the examination findings, treatment plan, and follow-up care.

Common Clinical Scenarios

Patients presenting with ear pain, swelling, or drainage; post-surgical complications; chronic ear conditions.

Billing Considerations

Ensure documentation reflects the severity and duration of symptoms, as well as any surgical interventions performed.

Primary Care

Documentation Requirements

Comprehensive history and physical examination notes, including any referrals to specialists.

Common Clinical Scenarios

Initial evaluation of ear pain, management of acute infections, and referrals for chronic conditions.

Billing Considerations

Document any systemic symptoms that may indicate a more serious underlying condition.

Coding Guidelines

Inclusion Criteria

Use H61.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the condition's specifics, including the type of inflammation and any associated symptoms
  • Include any relevant history that may impact treatment

Exclusion Criteria

Do NOT use H61.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69200CPT Code

Removal of impacted cerumen

Clinical Scenario

When a patient presents with ear pain and cerumen impaction is suspected.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may perform this procedure in conjunction with other ear evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.0 provides a clear distinction between inflammatory conditions of the ear, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.0 provides a clear distinction between inflammatory conditions of the ear, which aids in clinical management and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.0 provides a clear distinction between inflammatory conditions of the ear, which aids in clinical management and research.

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 are the common causes of chondritis and perichondritis of the external ear?

Common causes include trauma, infections (bacterial or fungal), and systemic diseases such as autoimmune disorders. Identifying the underlying cause is crucial for effective treatment.