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v1.0.0
ICD-10 Guide
ICD-10 CodesH61.8

H61.8

Billable

Other specified disorders of external ear

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

Code Description

ICD-10 H61.8 is a billable code used to indicate a diagnosis of other specified disorders of external ear.

Key Diagnostic Point:

H61.8 encompasses a variety of specified disorders affecting the external ear that do not fall under more common categories. These may include conditions such as external ear infections (not classified as otitis externa), congenital malformations, or other atypical presentations. Clinical manifestations can range from localized pain, swelling, and discharge to more systemic symptoms if an infection spreads. Diagnostic criteria typically involve a thorough history and physical examination, often supplemented by imaging studies or cultures to identify pathogens. Management strategies may include topical or systemic antibiotics, surgical interventions for drainage or correction of anatomical defects, and patient education on ear hygiene. Accurate coding requires a clear understanding of the specific disorder being treated, as well as any associated symptoms or complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of conditions included under the code
  • Need for precise documentation of symptoms
  • Potential overlap with other ear-related codes
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of the specific disorder
  • Misclassification of the condition
  • Failure to document associated symptoms
  • Inconsistent coding across encounters

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

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

Common Clinical Scenarios

Management of external ear infections, congenital ear deformities, and post-surgical complications.

Billing Considerations

Ensure clear differentiation between types of ear disorders to avoid coding errors.

Primary Care

Documentation Requirements

Comprehensive patient history and symptom description, including any prior treatments.

Common Clinical Scenarios

Initial evaluation of ear pain or discharge, referral to specialists.

Billing Considerations

Documenting the rationale for referrals and any preliminary treatments provided.

Coding Guidelines

Inclusion Criteria

Use H61.8 When
  • Follow official coding guidelines that specify the need for precise documentation of the disorder
  • Include any relevant symptoms and treatments
  • Ensure that the diagnosis aligns with the services provided

Exclusion Criteria

Do NOT use H61.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

When a patient presents with cerumen impaction leading to hearing loss.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may perform this procedure in a more complex context.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of ear disorders, improving the granularity of data collection and enhancing the ability to track treatment outcomes.

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 H61.8?

H61.8 includes various specified disorders of the external ear, such as infections, congenital anomalies, and other atypical presentations that do not fit into more common categories.