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v1.0.0
ICD-10 Guide
ICD-10 CodesH61.11

H61.11

Billable

Acquired deformity of pinna

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

Code Description

ICD-10 H61.11 is a billable code used to indicate a diagnosis of acquired deformity of pinna.

Key Diagnostic Point:

Acquired deformity of the pinna refers to structural changes in the outer ear that occur due to various factors such as trauma, infection, or surgical interventions. This condition can manifest as changes in shape, size, or position of the pinna, which may result from conditions like otitis externa, chronic infections, or post-surgical alterations following procedures such as otoplasty or ear reconstruction. Patients may present with visible deformities, pain, or discomfort, and in some cases, associated hearing loss may be noted. Diagnosis typically involves a thorough physical examination, patient history, and imaging studies if necessary. Management may include surgical correction, treatment of underlying infections, or cosmetic interventions, depending on the severity and cause of the deformity. Accurate coding is essential for proper reimbursement and to reflect the complexity of care provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (trauma, infection, surgery)
  • Potential for associated conditions (hearing loss, otitis)
  • Need for detailed documentation of clinical findings
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the cause of deformity
  • Failure to link deformity to specific treatment provided
  • Misclassification as congenital deformity
  • Lack of supporting clinical evidence for surgical interventions

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear conditions, physical examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear deformities post-trauma or surgery, chronic otitis externa leading to deformity.

Billing Considerations

Ensure clear documentation of the acquired nature of the deformity and any associated hearing loss.

Plastic Surgery

Documentation Requirements

Pre-operative assessments, surgical notes, and post-operative follow-up documentation.

Common Clinical Scenarios

Reconstructive surgery for ear deformities due to trauma or congenital issues.

Billing Considerations

Document the rationale for surgical intervention and expected outcomes.

Coding Guidelines

Inclusion Criteria

Use H61.11 When
  • Follow official ICD
  • CM guidelines for coding acquired deformities, ensuring accurate documentation of the cause and any associated conditions
  • Include any relevant history of trauma or surgery

Exclusion Criteria

Do NOT use H61.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty, surgical correction of prominent ears

Clinical Scenario

Used when performing surgical correction of an acquired deformity of the pinna.

Documentation Requirements

Pre-operative assessment, surgical consent, and post-operative follow-up notes.

Specialty Considerations

Otolaryngologists and plastic surgeons should ensure clear documentation of the deformity and surgical goals.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acquired deformities, improving the accuracy of medical records and facilitating better patient care through detailed documentation of conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acquired deformities, improving the accuracy of medical records and facilitating better patient care through detailed documentation of conditions.

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 is the difference between acquired and congenital deformities of the pinna?

Acquired deformities develop after birth due to factors such as trauma or infection, while congenital deformities are present at birth and result from developmental anomalies.