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v1.0.0
ICD-10 Guide
ICD-10 CodesQ17.0

Q17.0

Billable

Accessory auricle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q17.0 is a billable code used to indicate a diagnosis of accessory auricle.

Key Diagnostic Point:

Accessory auricle, also known as accessory auricular tissue, is a congenital malformation characterized by the presence of additional auricular tissue adjacent to the normal auricle. This condition can manifest as a small tag or a more developed structure resembling a miniature ear. Accessory auricles are typically located on the upper part of the ear and may vary in size and shape. While often asymptomatic, they can be associated with other congenital anomalies, particularly those affecting the ear, face, and neck. The presence of accessory auricles may raise concerns regarding potential hearing loss or other ear-related issues, necessitating further evaluation. In pediatric patients, these anomalies are often identified during routine examinations, and while they are generally benign, surgical intervention may be considered for cosmetic reasons or if associated complications arise. Accurate coding of accessory auricle is crucial for proper management and follow-up, especially in cases where additional congenital conditions are present.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and associated anomalies
  • Potential for co-occurring congenital conditions
  • Need for precise documentation to differentiate from similar conditions
  • Variations in surgical management and coding for procedures

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Misidentification of accessory auricle as a more severe condition
  • Failure to document the clinical significance of the accessory auricle
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Documentation should include detailed descriptions of the accessory auricle, any associated anomalies, and the clinical significance of the findings.

Common Clinical Scenarios

Common scenarios include routine pediatric examinations where accessory auricles are discovered, or referrals for cosmetic surgery.

Billing Considerations

Consideration should be given to the age of the patient and the potential for growth-related changes in the accessory auricle.

Genetics

Documentation Requirements

Genetic documentation should include family history, potential syndromic associations, and any genetic testing results.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital ear anomalies.

Billing Considerations

Genetic implications should be assessed, especially if the accessory auricle is part of a syndrome.

Coding Guidelines

Inclusion Criteria

Use Q17.0 When
  • According to ICD
  • 10 coding guidelines, congenital malformations should be coded based on the specific anatomical site and associated conditions
  • Documentation must clearly indicate the presence of the accessory auricle and any related anomalies

Exclusion Criteria

Do NOT use Q17.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Excision of accessory auricle

Clinical Scenario

Used when surgical intervention is performed to remove the accessory auricle.

Documentation Requirements

Operative report detailing the procedure and indication for surgery.

Specialty Considerations

Pediatric surgeons should document the rationale for surgery, especially in cases of associated anomalies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including accessory auricle, which aids in better tracking and management of these anomalies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including accessory auricle, which aids in better tracking and management of these anomalies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of congenital conditions, including accessory auricle, which aids in better tracking and management of these anomalies.

Resources

Clinical References

  • •
    Congenital Ear Anomalies

Coding & Billing References

  • •
    Congenital Ear Anomalies

Frequently Asked Questions

What is the significance of coding accessory auricle?

Coding accessory auricle accurately is crucial for proper management and follow-up care, especially in pediatric patients. It helps in identifying potential associated conditions and planning for any necessary interventions.