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ICD-10 Guide
ICD-10 CodesH61.021

H61.021

Billable

Chronic perichondritis of right external ear

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

Code Description

ICD-10 H61.021 is a billable code used to indicate a diagnosis of chronic perichondritis of right external ear.

Key Diagnostic Point:

Chronic perichondritis of the right external ear is an inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition can arise from various etiologies, including trauma, infection, or autoimmune disorders. Clinically, patients may present with symptoms such as persistent pain, swelling, and tenderness localized to the external ear. The affected area may exhibit erythema and warmth, and in some cases, there may be discharge if secondary infection occurs. Diagnosis is typically made through clinical evaluation, supported by imaging studies if necessary to rule out other conditions. Management often involves the use of antibiotics if an infection is present, along with anti-inflammatory medications to reduce pain and swelling. In chronic cases, surgical intervention may be required to remove necrotic tissue or to drain abscesses. Proper management is crucial to prevent complications such as cartilage destruction or deformity of the ear.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic perichondritis
  • Identifying underlying causes such as trauma or infection
  • Need for detailed documentation of symptoms and treatment
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the affected ear
  • Misclassification of acute versus chronic conditions
  • Lack of supporting evidence for treatment provided

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear pain, swelling, or discharge.

Billing Considerations

Ensure clear documentation of the duration and severity of symptoms.

Primary Care

Documentation Requirements

Comprehensive patient history and any referrals made to specialists.

Common Clinical Scenarios

Initial evaluation of ear complaints before referral to specialists.

Billing Considerations

Document any prior treatments or interventions attempted.

Coding Guidelines

Inclusion Criteria

Use H61.021 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's chronicity and affected side
  • Include any relevant comorbidities that may impact treatment

Exclusion Criteria

Do NOT use H61.021 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 treatment for ear conditions.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may perform this procedure frequently.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic perichondritis, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic perichondritis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the primary cause of chronic perichondritis?

Chronic perichondritis can be caused by trauma, infection, or underlying systemic conditions such as autoimmune diseases.