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ICD-10 Guide
ICD-10 CodesH61.191

H61.191

Billable

Noninfective disorders of pinna, right ear

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

Code Description

ICD-10 H61.191 is a billable code used to indicate a diagnosis of noninfective disorders of pinna, right ear.

Key Diagnostic Point:

Noninfective disorders of the pinna, particularly in the right ear, encompass a range of conditions that affect the external ear structure without the presence of infection. These disorders can include congenital malformations, trauma, dermatitis, and other inflammatory conditions. Clinically, patients may present with symptoms such as pain, swelling, redness, or deformity of the pinna. Diagnostic evaluation typically involves a thorough history and physical examination, possibly supplemented by imaging studies or allergy testing to rule out other conditions. Management strategies may include topical treatments for dermatitis, surgical interventions for structural abnormalities, or pain management protocols. It is crucial for healthcare providers to differentiate these noninfective disorders from infectious processes, as the treatment and coding will differ significantly. Accurate documentation of the clinical findings and the specific nature of the disorder is essential for appropriate coding and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between infective and noninfective disorders
  • Variability in clinical presentation
  • Need for detailed documentation of symptoms
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Misclassification of the disorder as infective
  • Failure to specify the affected ear
  • Lack of supporting evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of the ear examination findings, including any abnormalities noted.

Common Clinical Scenarios

Patients presenting with ear deformities, chronic dermatitis of the pinna, or post-traumatic changes.

Billing Considerations

Ensure that all relevant history, including previous treatments and responses, is documented.

Dermatology

Documentation Requirements

Comprehensive notes on skin conditions affecting the pinna, including treatment history.

Common Clinical Scenarios

Patients with eczema or contact dermatitis localized to the ear.

Billing Considerations

Document any allergy testing results that may relate to the condition.

Coding Guidelines

Inclusion Criteria

Use H61.191 When
  • According to ICD
  • 10 guidelines, this code should be used when the disorder is specifically noninfective and localized to the right ear
  • It is important to ensure that the diagnosis is well
  • supported by clinical documentation

Exclusion Criteria

Do NOT use H61.191 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 cerumen impaction alongside noninfective disorders of the pinna.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists should ensure that the procedure is justified based on clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding noninfective disorders of the pinna, enabling better tracking of these conditions and their management. This specificity aids in research and improves patient care by allowing for more tailored treatment approaches.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding noninfective disorders of the pinna, enabling better tracking of these conditions and their management. This specificity aids in research and improves patient care by allowing for more tailored treatment approaches.

Reimbursement & Billing Impact

reimbursement.

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 malformations, trauma, allergic reactions, and inflammatory skin conditions such as dermatitis.

How can I differentiate between infective and noninfective disorders of the pinna?

Infective disorders typically present with signs of infection such as fever, purulent discharge, and significant pain, while noninfective disorders may present with swelling, redness, or deformity without systemic signs.