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ICD-10 Guide
ICD-10 CodesH61.029

H61.029

Billable

Chronic perichondritis of external ear, unspecified ear

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

Code Description

ICD-10 H61.029 is a billable code used to indicate a diagnosis of chronic perichondritis of external ear, unspecified ear.

Key Diagnostic Point:

Chronic perichondritis of the external ear is a persistent inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition can result from various etiologies, including trauma, infection, or autoimmune disorders. Clinically, patients may present with symptoms such as pain, swelling, and tenderness of the external ear, often accompanied by erythema and warmth. In chronic cases, deformities of the ear may develop due to cartilage destruction. Diagnosis is typically made through clinical evaluation, supported by imaging studies if necessary, to rule out other conditions. Management may involve antibiotics for infection, anti-inflammatory medications, and in severe cases, surgical intervention to remove necrotic tissue or repair cartilage damage. Chronic perichondritis can lead to complications such as hearing loss or aesthetic deformities, necessitating a comprehensive approach to treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of symptoms
  • Potential overlap with other ear conditions such as otitis externa
  • Need for detailed documentation to support chronicity
  • Differentiation from acute perichondritis and other ear disorders

Audit Risk Factors

  • Inadequate documentation of chronicity
  • Failure to specify the ear involved
  • Lack of supporting clinical evidence for diagnosis
  • Misclassification with acute conditions

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, and history of trauma or infection.

Billing Considerations

Ensure documentation reflects the chronic nature and any associated complications.

Dermatology

Documentation Requirements

Assessment of skin changes around the ear, history of skin conditions.

Common Clinical Scenarios

Patients with skin infections or inflammatory conditions affecting the ear.

Billing Considerations

Document any dermatological findings that may contribute to perichondritis.

Coding Guidelines

Inclusion Criteria

Use H61.029 When
  • Follow official ICD
  • CM guidelines for coding chronic conditions, ensuring accurate documentation of the duration and severity of symptoms
  • Include any relevant co
  • morbidities that may affect treatment

Exclusion Criteria

Do NOT use H61.029 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 chronic ear conditions.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may frequently perform this procedure in patients with chronic ear issues.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and treatment plans. This specificity aids in better tracking of disease prevalence and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and treatment plans. This specificity aids in better tracking of disease prevalence and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and treatment plans. This specificity aids in better tracking of disease prevalence and outcomes.

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 are the common causes of chronic perichondritis?

Chronic perichondritis can be caused by trauma, infections, autoimmune diseases, or prolonged pressure on the ear. Identifying the underlying cause is crucial for effective management.

How is chronic perichondritis diagnosed?

Diagnosis is primarily clinical, based on the patient's history and physical examination. Imaging studies may be used to assess cartilage damage or rule out other conditions.