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ICD-10 Guide
ICD-10 CodesH61.101

H61.101

Billable

Unspecified noninfective disorders of pinna, right ear

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

Code Description

ICD-10 H61.101 is a billable code used to indicate a diagnosis of unspecified noninfective disorders of pinna, right ear.

Key Diagnostic Point:

H61.101 refers to unspecified noninfective disorders affecting the pinna of the right ear. These disorders can manifest as deformities, lesions, or other abnormalities that do not have an infectious etiology. Clinical presentations may include pain, swelling, or cosmetic concerns related to the pinna. Patients may report discomfort or changes in the appearance of the ear, which can lead to psychological distress. Diagnosis typically involves a thorough physical examination, patient history, and possibly imaging studies to rule out other conditions. Management may include conservative measures such as observation, topical treatments, or surgical interventions depending on the severity and nature of the disorder. Accurate coding is essential for proper reimbursement and to reflect the patient's condition in medical records.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of disorders
  • Need for thorough documentation to support noninfective classification
  • Potential overlap with infectious conditions requiring careful differentiation
  • Variability in treatment approaches based on individual patient factors

Audit Risk Factors

  • Inadequate documentation of the noninfective nature of the disorder
  • Failure to specify the exact nature of the disorder
  • 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, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear deformities, pain, or cosmetic concerns.

Billing Considerations

Ensure clear differentiation between noninfective and infectious disorders.

Dermatology

Documentation Requirements

Photographic evidence of lesions or abnormalities, detailed descriptions of skin findings.

Common Clinical Scenarios

Patients with skin conditions affecting the pinna.

Billing Considerations

Document any dermatological treatments or interventions performed.

Coding Guidelines

Inclusion Criteria

Use H61.101 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the diagnosis is supported by clinical documentation

Exclusion Criteria

Do NOT use H61.101 When
  • Exclude conditions that are infectious or have a clear etiology

Related ICD-10 Codes

Related CPT Codes

69100CPT Code

Excision, ear lesion

Clinical Scenario

Used when surgical intervention is performed for a noninfective lesion of the pinna.

Documentation Requirements

Operative report detailing the procedure and indication.

Specialty Considerations

Otolaryngology specialists should ensure clear documentation of the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the accuracy of diagnoses and treatment documentation. H61.101 provides a clear classification for noninfective disorders of the pinna, which aids in clinical management and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the accuracy of diagnoses and treatment documentation. H61.101 provides a clear classification for noninfective disorders of the pinna, which aids in clinical management and billing.

Reimbursement & Billing Impact

billing.

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 are the common causes of noninfective disorders of the pinna?

Common causes include congenital deformities, trauma, and inflammatory conditions that do not involve infection.