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v1.0.0
ICD-10 Guide
ICD-10 CodesH61.033

H61.033

Billable

Chondritis of external ear, bilateral

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

Code Description

ICD-10 H61.033 is a billable code used to indicate a diagnosis of chondritis of external ear, bilateral.

Key Diagnostic Point:

Chondritis of the external ear is an inflammatory condition affecting the cartilage of the ear, often resulting in pain, swelling, and tenderness. When bilateral, both ears are involved, which can complicate the clinical picture. This condition may arise from various etiologies, including trauma, infection, or systemic diseases such as relapsing polychondritis. Clinically, patients may present with localized erythema, warmth, and fluctuating pain in the auricle. Diagnosis is primarily clinical, supported by imaging studies if abscess formation or other complications are suspected. Management typically involves anti-inflammatory medications, antibiotics if an infection is present, and in severe cases, surgical intervention may be necessary to drain abscesses or debride necrotic tissue. Chronic cases may require long-term management strategies to prevent recurrence. Accurate coding is essential for appropriate treatment reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Bilateral involvement complicates documentation and coding.
  • Differentiation from other ear conditions such as otitis externa.
  • Potential overlap with systemic diseases requiring additional codes.
  • Variability in clinical presentation and management approaches.

Audit Risk Factors

  • Inadequate documentation of bilateral involvement.
  • Failure to specify the underlying cause of chondritis.
  • Misuse of codes for similar conditions like otitis externa.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes including history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear pain, swelling, and redness, often after trauma or infection.

Billing Considerations

Documentation must clearly differentiate between chondritis and other ear conditions to avoid coding errors.

Rheumatology

Documentation Requirements

Comprehensive evaluation of systemic symptoms and history of autoimmune diseases.

Common Clinical Scenarios

Patients with recurrent chondritis associated with systemic conditions like relapsing polychondritis.

Billing Considerations

Must document any systemic involvement and treatment response to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use H61.033 When
  • Follow official ICD
  • CM guidelines for coding chondritis, ensuring accurate documentation of bilateral involvement
  • Include any relevant underlying conditions that may contribute to the diagnosis

Exclusion Criteria

Do NOT use H61.033 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 associated symptoms.

Specialty Considerations

Otolaryngologists may frequently perform this procedure alongside chondritis management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like chondritis, 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 conditions like chondritis, 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 are the common causes of chondritis of the external ear?

Common causes include trauma, infections, and systemic inflammatory diseases such as relapsing polychondritis.