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ICD-10 Guide
ICD-10 CodesH61.19

H61.19

Billable

Other noninfective disorders of pinna

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

Code Description

ICD-10 H61.19 is a billable code used to indicate a diagnosis of other noninfective disorders of pinna.

Key Diagnostic Point:

H61.19 refers to various noninfective disorders affecting the pinna, which is the external part of the ear. These disorders can include conditions such as congenital malformations, trauma, or deformities that do not arise from infectious processes. Clinical presentations may vary widely, including structural abnormalities, pain, or cosmetic concerns. Diagnosis typically involves a thorough physical examination, patient history, and possibly imaging studies to assess the anatomy of the ear. Management may include surgical interventions for cosmetic correction or functional improvement, as well as supportive care for any associated symptoms. It is crucial to differentiate these conditions from infectious disorders like otitis externa or other ear diseases to ensure appropriate coding and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of noninfective conditions that can be coded under this category
  • Need for precise documentation to differentiate from infectious disorders
  • Potential for overlapping symptoms with other ear conditions
  • Variability in treatment approaches based on the specific disorder

Audit Risk Factors

  • Inadequate documentation of the specific noninfective disorder
  • Misclassification of the condition as infectious
  • Lack of clarity in the treatment plan
  • Failure to document patient history adequately

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed descriptions of the ear's anatomy and any observed deformities or conditions.

Common Clinical Scenarios

Patients presenting with congenital ear deformities or post-traumatic ear changes.

Billing Considerations

Ensure that all noninfective conditions are clearly documented to avoid confusion with infectious cases.

Plastic Surgery

Documentation Requirements

Comprehensive notes on the surgical approach and rationale for cosmetic procedures.

Common Clinical Scenarios

Reconstructive surgery for ear deformities or trauma.

Billing Considerations

Document the functional and aesthetic goals of surgery to support coding.

Coding Guidelines

Inclusion Criteria

Use H61.19 When
  • Follow official coding guidelines that specify the need for clear documentation of the noninfective nature of the disorder
  • Ensure that the diagnosis is supported by clinical findings and that it does not overlap with infectious conditions

Exclusion Criteria

Do NOT use H61.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for cosmetic correction of ear deformities.

Documentation Requirements

Document the specific deformity and the surgical plan.

Specialty Considerations

Otolaryngologists and plastic surgeons should coordinate documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of noninfective ear disorders, improving the accuracy of claims and facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of noninfective ear disorders, improving the accuracy of claims and facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of noninfective ear disorders, improving the accuracy of claims and facilitating better patient management.

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 types of conditions are included under H61.19?

H61.19 includes various noninfective disorders of the pinna, such as congenital malformations, trauma-related deformities, and other structural abnormalities that do not arise from infections.