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ICD-10 Guide
ICD-10 CodesH61.1

H61.1

Billable

Noninfective disorders of pinna

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

Code Description

ICD-10 H61.1 is a billable code used to indicate a diagnosis of noninfective disorders of pinna.

Key Diagnostic Point:

Noninfective disorders of the pinna encompass a variety of conditions affecting the outer ear, which may include congenital deformities, trauma, and inflammatory conditions that are not caused by infectious agents. Common presentations include deformities such as microtia or prominent ears, as well as conditions like contact dermatitis or eczema affecting the skin of the pinna. Patients may present with symptoms such as itching, redness, swelling, or pain localized to the outer ear. Diagnosis typically involves a thorough clinical examination, patient history, and sometimes imaging studies to rule out other conditions. Management strategies may include topical treatments for inflammatory conditions, surgical interventions for congenital deformities, or trauma repair. It is crucial for healthcare providers to document the specific nature of the disorder, any associated symptoms, and the treatment plan to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of noninfective conditions that can affect the pinna
  • Need for precise documentation of symptoms and treatments
  • Potential for overlap with other ear-related diagnoses
  • Variability in treatment approaches based on specific conditions

Audit Risk Factors

  • Inadequate documentation of the specific noninfective condition
  • Failure to specify associated symptoms or treatments
  • Misclassification of the condition as infectious
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Management of congenital ear deformities, treatment of dermatitis of the pinna.

Billing Considerations

Ensure clear differentiation between infectious and noninfective disorders.

Dermatology

Documentation Requirements

Thorough documentation of skin conditions affecting the pinna, including treatment responses.

Common Clinical Scenarios

Diagnosis and treatment of eczema or contact dermatitis on the ear.

Billing Considerations

Document any potential allergens or irritants contributing to the condition.

Coding Guidelines

Inclusion Criteria

Use H61.1 When
  • According to ICD
  • 10 guidelines, H61
  • 1 should be used when the condition is specifically noninfective
  • Coders must ensure that the diagnosis is supported by clinical documentation and that it does not overlap with infectious conditions

Exclusion Criteria

Do NOT use H61.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for surgical correction of prominent ears.

Documentation Requirements

Preoperative assessment, surgical notes, and postoperative follow-up.

Specialty Considerations

Otolaryngology specialists should document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninfective disorders, improving the accuracy of diagnoses and treatment tracking for conditions affecting the pinna.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninfective disorders, improving the accuracy of diagnoses and treatment tracking for conditions affecting the pinna.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninfective disorders, improving the accuracy of diagnoses and treatment tracking for conditions affecting the pinna.

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 types of conditions are classified under H61.1?

H61.1 includes noninfective disorders such as congenital ear deformities, contact dermatitis, and other inflammatory conditions affecting the pinna.