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ICD-10 Guide
ICD-10 CodesH61.322

H61.322

Billable

Acquired stenosis of left external ear canal secondary to inflammation and infection

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

Code Description

ICD-10 H61.322 is a billable code used to indicate a diagnosis of acquired stenosis of left external ear canal secondary to inflammation and infection.

Key Diagnostic Point:

Acquired stenosis of the left external ear canal is a condition characterized by the narrowing of the ear canal due to inflammation and infection. This condition often arises from chronic otitis externa, which can be caused by bacterial or fungal infections, allergic reactions, or prolonged exposure to moisture. Patients may present with symptoms such as ear pain, discharge, itching, and hearing loss. The inflammation can lead to scarring and tissue remodeling, resulting in a permanent narrowing of the canal. Diagnosis typically involves a thorough clinical examination, otoscopic evaluation, and possibly imaging studies to assess the extent of the stenosis. Management may include medical treatment with antibiotics or antifungals, corticosteroids to reduce inflammation, and in severe cases, surgical intervention to widen the canal. Understanding the underlying cause of the inflammation is crucial for effective treatment and prevention of recurrence.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic conditions
  • Identifying the specific cause of inflammation/infection
  • Documenting the severity and extent of stenosis
  • Potential need for surgical intervention coding

Audit Risk Factors

  • Inadequate documentation of the cause of stenosis
  • Failure to specify laterality (left vs. right)
  • Lack of supporting clinical evidence for the diagnosis
  • Misclassification of acute vs. chronic conditions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, physical examination findings, and results of any imaging studies.

Common Clinical Scenarios

Patients presenting with chronic ear infections, recurrent otitis externa, or post-surgical complications.

Billing Considerations

Ensure clear documentation of the etiology of stenosis and any prior treatments.

Audiology

Documentation Requirements

Audiometric evaluations and assessments of hearing loss related to ear canal stenosis.

Common Clinical Scenarios

Patients with hearing loss attributed to external ear canal issues.

Billing Considerations

Document the impact of stenosis on hearing and any recommended interventions.

Coding Guidelines

Inclusion Criteria

Use H61.322 When
  • Follow official coding guidelines for ear conditions, ensuring accurate documentation of the cause, laterality, and any associated procedures
  • Include relevant history and physical examination findings

Exclusion Criteria

Do NOT use H61.322 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 the diagnosis of ear canal stenosis.

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 ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.322 provides a clear distinction for acquired conditions, enhancing clinical data quality.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.322 provides a clear distinction for acquired conditions, enhancing clinical data quality.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear conditions, improving the accuracy of diagnoses and treatment tracking. H61.322 provides a clear distinction for acquired conditions, enhancing clinical data quality.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What is the primary cause of acquired stenosis of the ear canal?

The primary cause is often chronic inflammation due to infections such as otitis externa, which can lead to scarring and narrowing of the ear canal.