Unspecified noninfective disorders of pinna, unspecified ear
ICD-10 H61.109 is a billable code used to indicate a diagnosis of unspecified noninfective disorders of pinna, unspecified ear.
H61.109 refers to unspecified noninfective disorders affecting the pinna of the ear. These disorders may include a variety of conditions such as congenital malformations, trauma, or other noninfective etiologies that affect the external ear's structure and function. Clinical presentation can vary widely, with symptoms ranging from cosmetic concerns to functional impairments, such as hearing loss or discomfort. Diagnosis typically involves a thorough clinical examination, patient history, and may include imaging studies if structural abnormalities are suspected. Management strategies depend on the underlying cause and may involve surgical interventions, such as otoplasty for cosmetic corrections or other procedures to address functional impairments. Given the broad nature of this code, it is essential for coders to ensure that the documentation clearly supports the diagnosis and any associated treatments.
Detailed clinical notes including history, examination findings, and treatment plans.
Patients presenting with ear deformities, trauma, or chronic ear pain without infection.
Ensure that all noninfective causes are ruled out and documented to support the use of H61.109.
Comprehensive records of cosmetic evaluations and surgical planning.
Patients seeking otoplasty for aesthetic reasons or correction of congenital ear deformities.
Document the patient's goals and the rationale for surgical intervention to support coding.
Used for cosmetic correction of ear deformities.
Pre-operative assessment and consent forms.
Ensure that the reason for surgery aligns with the diagnosis.
Use H61.109 when there is a documented noninfective disorder of the pinna, and no more specific code is available. Ensure that the documentation supports the diagnosis.
