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ICD-10 Guide
ICD-10 CodesH61.32

H61.32

Billable

Acquired stenosis of external ear canal secondary to inflammation and infection

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

Code Description

ICD-10 H61.32 is a billable code used to indicate a diagnosis of acquired stenosis of external ear canal secondary to inflammation and infection.

Key Diagnostic Point:

Acquired stenosis of the external ear canal is a condition characterized by the narrowing of the ear canal due to inflammation and infection, often resulting from chronic otitis externa or other inflammatory conditions. This stenosis can lead to symptoms such as hearing loss, discomfort, and recurrent ear infections. The inflammation may be caused by various factors, including allergic reactions, bacterial or fungal infections, and prolonged exposure to moisture. Clinically, patients may present with ear pain, itching, and discharge. Diagnosis typically involves a thorough history and physical examination, often supplemented by otoscopic evaluation to visualize the ear canal's condition. Management may include medical treatment with antibiotics or antifungals, and in severe cases, surgical intervention may be necessary to relieve the stenosis and restore normal ear canal function. Proper coding is essential to ensure accurate representation of the patient's condition and to facilitate appropriate reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acquired and congenital stenosis
  • Identifying the underlying cause of inflammation/infection
  • Documenting the severity and duration of symptoms
  • Understanding the relationship between otitis externa and stenosis

Audit Risk Factors

  • Inadequate documentation of the inflammatory cause
  • Failure to specify the severity of stenosis
  • Misclassification of the condition as congenital
  • Lack of supporting evidence for recurrent infections

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, physical examination findings, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the relationship between inflammation and stenosis.

Primary Care

Documentation Requirements

Comprehensive patient history, including previous ear infections and treatments.

Common Clinical Scenarios

Initial evaluation of ear pain or discharge, referral to specialists.

Billing Considerations

Documenting the progression of symptoms and any prior treatments is crucial.

Coding Guidelines

Inclusion Criteria

Use H61.32 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's etiology and severity
  • Include any relevant history of ear infections or treatments

Exclusion Criteria

Do NOT use H61.32 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 treatment for stenosis.

Documentation Requirements

Document the reason for cerumen removal and any associated conditions.

Specialty Considerations

Otolaryngologists may perform this procedure more frequently in patients with stenosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment plans. H61.32 provides a clear distinction between acquired and congenital conditions.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment plans. H61.32 provides a clear distinction between acquired and congenital conditions.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment plans. H61.32 provides a clear distinction between acquired and congenital conditions.

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 is the primary cause of H61.32?

The primary cause of H61.32 is inflammation and infection leading to acquired stenosis of the external ear canal, often due to chronic otitis externa or other inflammatory conditions.