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 CodesH61.103

H61.103

Billable

Unspecified noninfective disorders of pinna, bilateral

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

Code Description

ICD-10 H61.103 is a billable code used to indicate a diagnosis of unspecified noninfective disorders of pinna, bilateral.

Key Diagnostic Point:

H61.103 refers to unspecified noninfective disorders of the pinna, bilaterally. This code encompasses a range of conditions affecting the outer ear, which may include deformities, congenital anomalies, or acquired conditions that do not stem from infectious processes. Clinical presentations can vary widely, including symptoms such as pain, itching, or cosmetic concerns. Patients may report discomfort or changes in the appearance of the pinna, which can impact self-esteem and social interactions. Diagnostic criteria typically involve a thorough clinical examination, patient history, and possibly imaging studies to rule out underlying pathologies. Management strategies may include conservative measures such as topical treatments or surgical interventions for more significant deformities or cosmetic corrections. Accurate coding is essential for appropriate reimbursement and to reflect the complexity of the patient's condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for thorough documentation to specify noninfective nature
  • Potential overlap with other ear disorders
  • Lack of specificity in the code itself

Audit Risk Factors

  • Insufficient documentation of clinical findings
  • Failure to specify bilateral involvement
  • Inadequate differentiation from infectious disorders
  • Lack of supporting evidence for noninfective diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with ear deformities, chronic irritation, or cosmetic concerns.

Billing Considerations

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

Dermatology

Documentation Requirements

Comprehensive skin assessments and treatment records for conditions affecting the pinna.

Common Clinical Scenarios

Patients with skin disorders affecting the ear, such as eczema or psoriasis.

Billing Considerations

Document any dermatological treatments and their outcomes to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use H61.103 When
  • According to ICD
  • 10 coding guidelines, H61
  • 103 should be used when the specific nature of the noninfective disorder is not documented
  • Coders should ensure that the diagnosis is supported by clinical findings and that the bilateral aspect is clearly indicated in the medical record

Exclusion Criteria

Do NOT use H61.103 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69100CPT Code

Excision, ear lesion

Clinical Scenario

Used when a patient with a noninfective disorder requires surgical intervention.

Documentation Requirements

Operative notes detailing the procedure and indication.

Specialty Considerations

Otolaryngologists should ensure clear linkage between the diagnosis and the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding ear disorders, including the ability to distinguish between bilateral and unilateral conditions. H61.103 provides a means to code noninfective disorders that may have previously been classified under broader categories.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding ear disorders, including the ability to distinguish between bilateral and unilateral conditions. H61.103 provides a means to code noninfective disorders that may have previously been classified under broader categories.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should I document to support the use of H61.103?

Document a thorough history of the patient's symptoms, a detailed examination of the pinna, and any treatments attempted. Ensure that the noninfective nature of the disorder is clearly stated.