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ICD-10 Guide
ICD-10 CodesH61.019

H61.019

Billable

Acute perichondritis of external ear, unspecified ear

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

Code Description

ICD-10 H61.019 is a billable code used to indicate a diagnosis of acute perichondritis of external ear, unspecified ear.

Key Diagnostic Point:

Acute perichondritis of the external ear is an inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition can arise from various causes, including trauma, infection, or surgical interventions. Clinically, patients may present with localized pain, swelling, and redness of the external ear, often accompanied by tenderness upon palpation. In severe cases, systemic symptoms such as fever may be present. Diagnosis typically involves a thorough clinical examination and may be supported by imaging studies or cultures if an infectious etiology is suspected. Management primarily focuses on addressing the underlying cause, which may include antibiotics for bacterial infections, anti-inflammatory medications, and in some cases, surgical drainage if an abscess forms. Prompt treatment is crucial to prevent complications such as cartilage destruction or chronic deformity of the ear.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic perichondritis
  • Identifying the specific ear involved when unspecified
  • Potential overlap with other ear conditions like otitis externa
  • Need for detailed documentation of clinical findings

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the ear involved
  • Misclassification as otitis externa or other ear conditions
  • Lack of supporting evidence for acute diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes including symptoms, examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear pain, swelling, or after ear trauma.

Billing Considerations

Ensure clear differentiation from other ear conditions and document any surgical interventions.

Primary Care

Documentation Requirements

Comprehensive history and physical examination notes, including any referrals made.

Common Clinical Scenarios

Initial evaluation of ear pain or swelling before referral to a specialist.

Billing Considerations

Document any prior treatments or interventions that may have contributed to the condition.

Coding Guidelines

Inclusion Criteria

Use H61.019 When
  • According to ICD
  • 10 coding guidelines, H61
  • 019 should be used when the specific ear is not documented
  • Coders should ensure that the diagnosis is supported by clinical findings and that any related conditions are accurately captured

Exclusion Criteria

Do NOT use H61.019 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69200CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with evaluation of ear pain.

Documentation Requirements

Document the reason for cerumen removal and any findings during the procedure.

Specialty Considerations

Otolaryngologists may perform this procedure frequently in patients with ear conditions.

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, including acute perichondritis. This specificity aids in better tracking of disease prevalence and treatment outcomes, but requires coders to be more diligent in documentation and coding practices.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, including acute perichondritis. This specificity aids in better tracking of disease prevalence and treatment outcomes, but requires coders to be more diligent in documentation and coding practices.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear conditions, including acute perichondritis. This specificity aids in better tracking of disease prevalence and treatment outcomes, but requires coders to be more diligent in documentation and coding practices.

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 is the difference between acute and chronic perichondritis?

Acute perichondritis is a sudden onset of inflammation often due to infection or trauma, while chronic perichondritis is a long-standing condition that may result from repeated trauma or underlying systemic diseases.