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ICD-10 Guide
ICD-10 CodesH61.013

H61.013

Billable

Acute perichondritis of external ear, bilateral

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

Code Description

ICD-10 H61.013 is a billable code used to indicate a diagnosis of acute perichondritis of external ear, bilateral.

Key Diagnostic Point:

Acute perichondritis of the external ear is an inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition can arise due to trauma, infection, or post-surgical complications. Clinically, patients may present with localized pain, swelling, and tenderness of the external ear, often accompanied by erythema and warmth. In bilateral cases, symptoms may be more pronounced, leading to significant discomfort and potential complications such as abscess formation or cartilage destruction if left untreated. Diagnosis is primarily clinical, supported by patient history and physical examination findings. Imaging studies are rarely required unless there is suspicion of deeper infection or abscess. Management typically involves the use of antibiotics, anti-inflammatory medications, and in some cases, surgical intervention to drain any abscesses. Prompt treatment is crucial to prevent complications and preserve ear structure and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic perichondritis
  • Bilateral vs unilateral coding nuances
  • Potential for co-existing ear conditions
  • Documentation of clinical findings and treatment plans

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify bilateral involvement
  • Misclassification of acute vs chronic conditions
  • Lack of supporting evidence for treatment provided

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed clinical notes including history, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear pain, swelling, and redness following trauma or infection.

Billing Considerations

Ensure clear documentation of the cause of perichondritis and any surgical interventions performed.

Primary Care

Documentation Requirements

Comprehensive patient history and physical examination notes, including any referrals made.

Common Clinical Scenarios

Initial evaluation of ear pain and swelling before referral to a specialist.

Billing Considerations

Document any prior treatments or interventions that may have contributed to the condition.

Coding Guidelines

Inclusion Criteria

Use H61.013 When
  • According to ICD
  • 10 guidelines, H61
  • 013 should be used when there is clear documentation of bilateral acute perichondritis
  • It is important to differentiate from other ear conditions and ensure that the diagnosis is supported by clinical findings

Exclusion Criteria

Do NOT use H61.013 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69200CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with treatment for ear conditions.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may perform this procedure during the same visit.

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 acute perichondritis, improving data accuracy and facilitating better patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like acute perichondritis, improving data accuracy and facilitating better patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like acute perichondritis, improving data accuracy and facilitating better patient care management.

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 are the common causes of acute perichondritis?

Common causes include trauma, surgical complications, and infections, particularly bacterial infections following ear piercings or injuries.