ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesH61.323

H61.323

Billable

Acquired stenosis of external ear canal secondary to inflammation and infection, bilateral

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

Code Description

ICD-10 H61.323 is a billable code used to indicate a diagnosis of acquired stenosis of external ear canal secondary to inflammation and infection, bilateral.

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 processes. This condition can lead to significant complications, including hearing loss, discomfort, and increased susceptibility to recurrent infections. The bilateral aspect indicates that both ear canals are affected, which may complicate the clinical picture and management. Patients may present with symptoms such as ear pain, itching, discharge, and hearing impairment. Diagnosis typically involves a thorough clinical examination, otoscopic evaluation, and possibly imaging studies to assess the extent of stenosis and rule out other conditions. Management may include medical treatment with antibiotics or corticosteroids, and in severe cases, surgical intervention such as canaloplasty or tympanoplasty may be necessary to restore normal ear canal function and alleviate symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Bilateral involvement complicates diagnosis and treatment.
  • Differentiation from other ear canal conditions is necessary.
  • Requires thorough documentation of clinical findings.
  • Potential for co-existing conditions that must be coded appropriately.

Audit Risk Factors

  • Inadequate documentation of bilateral involvement.
  • Failure to document the underlying cause of inflammation/infection.
  • Misuse of codes for related conditions.
  • Lack of clarity in treatment plans.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes on examination findings, treatment plans, and follow-up care.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the bilateral nature of the condition and any surgical interventions performed.

Audiology

Documentation Requirements

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

Common Clinical Scenarios

Patients with hearing loss secondary to ear canal obstruction.

Billing Considerations

Document the impact of stenosis on hearing tests and any recommendations for further intervention.

Coding Guidelines

Inclusion Criteria

Use H61.323 When
  • Follow official ICD
  • 10 guidelines for coding ear conditions, ensuring accurate documentation of the bilateral nature and underlying causes
  • Include any relevant symptoms and treatments in the medical record

Exclusion Criteria

Do NOT use H61.323 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Used when cerumen impaction is contributing to stenosis.

Documentation Requirements

Document the need for cerumen removal and its relation to stenosis.

Specialty Considerations

Otolaryngologists should ensure clear linkage between cerumen removal and 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, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acquired stenosis, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 external ear canal?

The primary cause is often chronic inflammation or infection, such as otitis externa, which leads to scarring and narrowing of the ear canal.