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ICD-10 Guide
ICD-10 CodesH61.112

H61.112

Billable

Acquired deformity of pinna, left ear

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

Code Description

ICD-10 H61.112 is a billable code used to indicate a diagnosis of acquired deformity of pinna, left ear.

Key Diagnostic Point:

Acquired deformity of the pinna, specifically in the left ear, refers to structural changes or malformations of the outer ear that occur due to various factors such as trauma, infection, or surgical interventions. This condition can result from external injuries, such as lacerations or burns, or from chronic conditions like otitis externa that lead to scarring and deformity. Clinically, patients may present with visible changes in the shape or size of the pinna, which can affect hearing and may lead to psychosocial issues due to aesthetic concerns. Diagnosis typically involves a thorough physical examination and may include imaging studies if underlying conditions are suspected. Management may involve surgical correction, such as otoplasty, or conservative measures depending on the severity and cause of the deformity. 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 deformity
  • Need for detailed documentation of the cause of deformity
  • Potential for co-existing ear conditions that complicate coding
  • Differentiation from congenital deformities

Audit Risk Factors

  • Inadequate documentation of the deformity's cause
  • Failure to specify the left ear in documentation
  • Misclassification of acquired deformity as congenital
  • Lack of supporting clinical evidence for surgical interventions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of the deformity, including measurements and photographs if applicable.

Common Clinical Scenarios

Patients presenting with ear trauma, post-surgical deformities, or chronic infections leading to deformity.

Billing Considerations

Ensure that the cause of the deformity is clearly documented to support the diagnosis.

Plastic Surgery

Documentation Requirements

Comprehensive surgical notes detailing the procedure performed to correct the deformity.

Common Clinical Scenarios

Patients seeking cosmetic correction of ear deformities post-trauma or congenital issues.

Billing Considerations

Document the patient's psychosocial impact and the necessity of the procedure.

Coding Guidelines

Inclusion Criteria

Use H61.112 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that the documentation supports the diagnosis of acquired deformity specifically in the left ear
  • Include any relevant history of trauma or infection

Exclusion Criteria

Do NOT use H61.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for surgical correction of ear deformities.

Documentation Requirements

Surgical notes detailing the procedure and indication for surgery.

Specialty Considerations

Otolaryngologists and plastic surgeons should ensure clear documentation of the deformity and its impact.

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 acquired deformities of the pinna, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acquired deformities of the pinna, improving the accuracy of patient records 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 acquired and congenital deformities of the pinna?

Acquired deformities occur due to external factors such as trauma or infection, while congenital deformities are present at birth and result from genetic or developmental issues.