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ICD-10 Guide
ICD-10 CodesH61.023

H61.023

Billable

Chronic perichondritis of external ear, bilateral

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

Code Description

ICD-10 H61.023 is a billable code used to indicate a diagnosis of chronic perichondritis of external ear, bilateral.

Key Diagnostic Point:

Chronic perichondritis of the external ear is a persistent inflammatory condition affecting the perichondrium, the connective tissue surrounding the cartilage of the ear. This condition can result from various factors, including trauma, infection, or autoimmune disorders. Clinically, patients may present with symptoms such as swelling, tenderness, and erythema of the external ear, often accompanied by pain. In chronic cases, there may be deformity or changes in the ear's shape due to cartilage damage. Diagnosis is typically made through clinical evaluation, with imaging studies like ultrasound or MRI sometimes employed to assess the extent of the condition. Management often involves the use of antibiotics if an infection is present, anti-inflammatory medications, and in some cases, surgical intervention to remove necrotic tissue or drain abscesses. Chronic perichondritis can lead to complications such as hearing loss or aesthetic deformities, necessitating a comprehensive approach to treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic conditions
  • Potential overlap with other ear-related diagnoses
  • Need for detailed documentation of clinical findings
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment
  • Failure to specify bilateral involvement
  • Misclassification of acute versus chronic conditions
  • Lack of supporting imaging or lab results

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, or deformity; post-surgical complications; or recurrent infections.

Billing Considerations

Ensure clear documentation of the chronic nature of the condition and any prior treatments.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including any associated skin conditions.

Common Clinical Scenarios

Patients with skin infections or inflammatory conditions affecting the ear.

Billing Considerations

Document any dermatological findings that may contribute to the perichondritis.

Coding Guidelines

Inclusion Criteria

Use H61.023 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's chronicity and bilateral nature
  • Include any relevant comorbidities that may affect treatment

Exclusion Criteria

Do NOT use H61.023 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 ear conditions.

Specialty Considerations

Otolaryngologists should ensure clear linkage between cerumen removal and the diagnosis of perichondritis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and facilitating better management of ear disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and facilitating better management of ear disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chronic conditions like perichondritis, improving the accuracy of patient records and facilitating better management of ear disorders.

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 chronic perichondritis?

Chronic perichondritis can be caused by trauma, infections, autoimmune diseases, or prolonged pressure on the ear. Identifying the underlying cause is crucial for effective management.