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ICD-10 Guide
ICD-10 CodesH61.039

H61.039

Billable

Chondritis of external ear, unspecified ear

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

Code Description

ICD-10 H61.039 is a billable code used to indicate a diagnosis of chondritis of external ear, unspecified ear.

Key Diagnostic Point:

Chondritis of the external ear refers to inflammation of the cartilage of the ear, which can occur due to various causes including trauma, infection, or autoimmune disorders. The condition may present with symptoms such as pain, swelling, and redness of the external ear. In some cases, patients may also experience tenderness upon palpation. The unspecified nature of this code indicates that the specific ear affected is not documented, which can complicate treatment and management. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies if an underlying condition is suspected. Management often includes the use of anti-inflammatory medications, antibiotics if an infection is present, and in some cases, surgical intervention may be necessary to drain abscesses or remove necrotic tissue. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the code can lead to ambiguity in documentation.
  • Differentiating between chondritis and other ear conditions can be challenging.
  • Requires understanding of associated symptoms and potential complications.
  • Documentation must clearly support the diagnosis to avoid denials.

Audit Risk Factors

  • Lack of specificity in documentation.
  • Inconsistent use of terminology in clinical notes.
  • Failure to document the clinical rationale for the diagnosis.
  • Inadequate follow-up documentation for treatment outcomes.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with ear pain, swelling, or infection.

Billing Considerations

Ensure that the documentation specifies the nature of the chondritis and any associated conditions.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination findings.

Common Clinical Scenarios

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

Billing Considerations

Document any relevant past medical history that may contribute to the condition.

Coding Guidelines

Inclusion Criteria

Use H61.039 When
  • According to ICD
  • 10 coding guidelines, this code should be used when the specific ear affected is not documented
  • Coders should ensure that the diagnosis is supported by clinical documentation and that any associated conditions are also coded appropriately

Exclusion Criteria

Do NOT use H61.039 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 findings.

Specialty Considerations

Otolaryngologists may perform this procedure in conjunction with evaluating for chondritis.

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 chondritis. This specificity aids in better tracking of healthcare outcomes and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, including chondritis. This specificity aids in better tracking of healthcare outcomes and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 chondritis and otitis externa?

Chondritis refers specifically to inflammation of the cartilage of the ear, while otitis externa is an infection of the outer ear canal. They may present similarly but have different underlying causes and treatment approaches.