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ICD-10 Guide
ICD-10 CodesH61.192

H61.192

Billable

Noninfective disorders of pinna, left ear

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

Code Description

ICD-10 H61.192 is a billable code used to indicate a diagnosis of noninfective disorders of pinna, left ear.

Key Diagnostic Point:

Noninfective disorders of the pinna, specifically in the left ear, encompass a range of conditions that affect the external ear structure without the presence of infectious agents. These disorders may include congenital malformations, trauma, dermatitis, or other inflammatory conditions that lead to changes in the appearance or function of the pinna. Clinically, patients may present with symptoms such as pain, swelling, redness, or deformity of the ear. Diagnostic evaluation typically involves a thorough history and physical examination, and may include imaging studies if structural abnormalities are suspected. Management strategies vary based on the underlying cause and may include topical treatments for dermatitis, surgical interventions for structural issues, or pain management. Accurate coding is essential for proper reimbursement and tracking of these conditions, as they can significantly impact a patient's quality of life and hearing capabilities.

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 history
  • Potential overlap with other ear disorders requiring careful differentiation
  • Variability in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Failure to specify laterality
  • 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, chronic dermatitis of the pinna, or post-traumatic changes.

Billing Considerations

Ensure clear documentation of the diagnosis and any surgical interventions performed.

Dermatology

Documentation Requirements

Comprehensive skin assessments and treatment records for dermatological conditions affecting the pinna.

Common Clinical Scenarios

Patients with eczema or psoriasis localized to the ear.

Billing Considerations

Document the extent of skin involvement and response to treatment.

Coding Guidelines

Inclusion Criteria

Use H61.192 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition, laterality, and any associated symptoms

Exclusion Criteria

Do NOT use H61.192 When
  • Exclude conditions that are infectious or related to other ear disorders unless specifically documented

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

When a patient with a noninfective disorder presents with cerumen impaction.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may frequently perform this procedure in conjunction with evaluations of ear disorders.

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 granularity of data collected for noninfective conditions. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collected for noninfective conditions. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collected for noninfective conditions. This specificity aids in better tracking of treatment outcomes and resource allocation.

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, dermatitis, and keloid formation. Each of these conditions can lead to varying degrees of discomfort and cosmetic concerns.

How do 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. Noninfective disorders may present with symptoms like itching, scaling, or deformity without systemic signs of infection.