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v1.0.0
ICD-10 Guide
ICD-10 CodesH61.113

H61.113

Billable

Acquired deformity of pinna, bilateral

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

Code Description

ICD-10 H61.113 is a billable code used to indicate a diagnosis of acquired deformity of pinna, bilateral.

Key Diagnostic Point:

Acquired deformity of the pinna, bilateral, refers to structural changes in the outer ear that occur due to various factors such as trauma, infection, or surgical interventions. The pinna, or auricle, is the visible part of the ear that helps in sound localization and collection. Deformities can arise from conditions like otitis externa, which may lead to chronic inflammation and subsequent scarring, or from surgical procedures such as otoplasty or excision of tumors. Clinical presentation may include asymmetry, malformation, or changes in the contour of the ear, which can affect both aesthetic appearance and hearing. Diagnosis typically involves a thorough physical examination and may include imaging studies if underlying pathology is suspected. Management may involve surgical correction, addressing any underlying infections, and providing supportive care. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of deformities
  • Need for detailed documentation of the cause and extent of deformity
  • Potential for co-existing ear conditions that complicate coding
  • Variations in surgical interventions and their documentation

Audit Risk Factors

  • Inadequate documentation of the cause of the deformity
  • Failure to specify bilateral involvement
  • Misclassification of congenital vs. acquired deformities
  • Lack of supporting clinical evidence for surgical interventions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of the deformity, including onset, cause, and any associated symptoms.

Common Clinical Scenarios

Patients presenting with ear deformities post-trauma or after surgical procedures.

Billing Considerations

Ensure clear documentation of the surgical history and any complications that may affect coding.

Plastic Surgery

Documentation Requirements

Comprehensive records of pre-operative assessments, surgical techniques used, and post-operative outcomes.

Common Clinical Scenarios

Reconstructive surgery for patients with acquired deformities due to trauma or infection.

Billing Considerations

Document the aesthetic and functional goals of surgery to support coding.

Coding Guidelines

Inclusion Criteria

Use H61.113 When
  • Follow official ICD
  • CM guidelines for coding acquired deformities, ensuring accurate documentation of the cause and extent of the deformity
  • Include any relevant co
  • existing conditions that may impact treatment

Exclusion Criteria

Do NOT use H61.113 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for surgical correction of pinna deformities.

Documentation Requirements

Pre-operative assessment, surgical technique details, and post-operative care notes.

Specialty Considerations

Ensure documentation reflects the functional and aesthetic goals of the procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acquired deformities, improving the accuracy of medical records and reimbursement processes. H61.113 provides granularity in capturing bilateral conditions, which was less defined in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acquired deformities, improving the accuracy of medical records and reimbursement processes. H61.113 provides granularity in capturing bilateral conditions, which was less defined in ICD-9.

Reimbursement & Billing Impact

reimbursement processes. H61.113 provides granularity in capturing bilateral conditions, which was less defined in ICD-9.

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 acquired deformity of the pinna?

Common causes include trauma, chronic infections like otitis externa, and surgical interventions such as tumor excision or corrective surgeries.

How do I differentiate between congenital and acquired deformities?

Congenital deformities are present at birth and typically have a genetic or developmental origin, while acquired deformities develop due to external factors such as injury or infection.