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ICD-10 Guide
ICD-10 CodesH61.3

H61.3

Billable

Acquired stenosis of external ear canal

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

Code Description

ICD-10 H61.3 is a billable code used to indicate a diagnosis of acquired stenosis of external ear canal.

Key Diagnostic Point:

Acquired stenosis of the external ear canal refers to the narrowing of the ear canal due to various factors such as chronic inflammation, trauma, or surgical interventions. This condition can lead to a range of symptoms including hearing loss, discomfort, and recurrent ear infections. The stenosis may be caused by conditions such as chronic otitis externa, which can result in scarring and narrowing of the canal. Patients may present with symptoms such as a sensation of fullness in the ear, pain, or drainage. Diagnosis typically involves a thorough clinical examination, including otoscopy, and may be supplemented by imaging studies if necessary. Management often includes addressing the underlying cause, such as treating infections or inflammation, and in some cases, surgical intervention may be required to widen the canal. The prognosis is generally good with appropriate treatment, although some patients may experience recurrent issues if the underlying cause is not adequately managed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acquired and congenital stenosis
  • Identifying the underlying cause of stenosis
  • Documenting associated conditions such as otitis externa
  • Understanding the implications of surgical history on coding

Audit Risk Factors

  • Inadequate documentation of the cause of stenosis
  • Failure to link the diagnosis with appropriate treatment
  • Misclassification of acquired versus congenital conditions
  • Lack of detail in surgical history related to the ear canal

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes on the patient's history, examination findings, and treatment plan.

Common Clinical Scenarios

Patients presenting with chronic ear infections, hearing loss, or post-surgical complications.

Billing Considerations

Ensure documentation reflects the acquired nature of the stenosis and any relevant surgical history.

Audiology

Documentation Requirements

Audiometric evaluations and reports detailing the impact of stenosis on hearing.

Common Clinical Scenarios

Patients undergoing hearing assessments due to suspected ear canal issues.

Billing Considerations

Link audiological findings with the diagnosis of stenosis for accurate coding.

Coding Guidelines

Inclusion Criteria

Use H61.3 When
  • According to ICD
  • 10 coding guidelines, H61
  • 3 should be used when the stenosis is acquired and not due to congenital factors
  • Coders must ensure that the diagnosis is supported by clinical documentation, including the patient's history and any relevant examinations

Exclusion Criteria

Do NOT use H61.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with diagnosis of stenosis when cerumen impaction is present.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists should ensure that the procedure is linked to the diagnosis of stenosis.

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 stenosis of the external ear canal, improving the accuracy of clinical data and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acquired stenosis of the external ear canal, improving the accuracy of clinical data 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 are the common causes of acquired stenosis of the external ear canal?

Common causes include chronic otitis externa, trauma, and surgical interventions that lead to scarring and narrowing of the ear canal.

How can acquired stenosis affect hearing?

Acquired stenosis can lead to hearing loss by obstructing sound waves from reaching the eardrum, causing a conductive hearing loss.

What is the typical management for acquired stenosis?

Management may include treating underlying infections, using topical medications, and in some cases, surgical intervention to widen the ear canal.

How do I differentiate between acquired and congenital stenosis?

Differentiation is based on the patient's history, onset of symptoms, and clinical findings. Acquired stenosis typically follows a known event or condition.