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ICD-10 Guide
ICD-10 CodesH61.193

H61.193

Billable

Noninfective disorders of pinna, bilateral

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

Code Description

ICD-10 H61.193 is a billable code used to indicate a diagnosis of noninfective disorders of pinna, bilateral.

Key Diagnostic Point:

Noninfective disorders of the pinna, or outer ear, can manifest in various forms, including congenital deformities, trauma, or inflammatory conditions that do not stem from infectious agents. These disorders may lead to cosmetic concerns, discomfort, or functional impairments such as hearing loss. Clinical presentations can include deformities like microtia or prominent ears, as well as conditions such as eczema or contact dermatitis affecting the skin of the pinna. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies if structural abnormalities are suspected. Management strategies vary based on the underlying cause and may include topical treatments for inflammatory conditions, surgical interventions for deformities, or hearing aids for associated hearing loss. It is crucial for healthcare providers to document the specific nature of the disorder, any associated symptoms, and the treatment plan to ensure accurate coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of noninfective conditions that can affect the pinna
  • Need for precise documentation of the specific disorder
  • Potential overlap with other ear-related diagnoses
  • Variability in treatment approaches based on individual patient needs

Audit Risk Factors

  • Insufficient documentation of the specific disorder
  • Failure to note bilateral involvement
  • Inaccurate coding due to overlap with infectious conditions
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes describing the nature of the disorder, treatment plans, and any surgical interventions.

Common Clinical Scenarios

Patients presenting with congenital ear deformities, post-traumatic ear changes, or inflammatory conditions affecting the pinna.

Billing Considerations

Ensure that all relevant details about the patient's history and examination findings are documented to support the diagnosis.

Dermatology

Documentation Requirements

Comprehensive documentation of skin conditions affecting the pinna, including treatment responses.

Common Clinical Scenarios

Patients with eczema or dermatitis localized to the pinna.

Billing Considerations

Document the specific type of dermatitis and any associated symptoms to avoid confusion with infectious conditions.

Coding Guidelines

Inclusion Criteria

Use H61.193 When
  • According to ICD
  • 10 coding guidelines, H61
  • 193 should be used when the condition is specifically bilateral and noninfective
  • Coders must ensure that the documentation supports the bilateral nature of the disorder and that it is not due to an infectious process

Exclusion Criteria

Do NOT use H61.193 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for surgical correction of prominent ears.

Documentation Requirements

Pre-operative assessment notes and consent forms.

Specialty Considerations

Otolaryngology specialists should document the specific indications for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninfective disorders of the pinna, improving the accuracy of claims and facilitating better patient management through detailed documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninfective disorders of the pinna, improving the accuracy of claims and facilitating better patient management through detailed documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninfective disorders of the pinna, improving the accuracy of claims and facilitating better patient management through detailed documentation.

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 types of conditions are classified under H61.193?

H61.193 includes various noninfective disorders of the pinna, such as congenital deformities, trauma-related changes, and inflammatory skin conditions affecting the outer ear.