Disorder of external ear, unspecified, unspecified ear
ICD-10 H61.90 is a billable code used to indicate a diagnosis of disorder of external ear, unspecified, unspecified ear.
H61.90 refers to unspecified disorders of the external ear, which may include a variety of conditions affecting the outer ear structures such as the auricle and external auditory canal. These disorders can manifest as infections, congenital anomalies, trauma, or other pathological changes. Common clinical presentations include pain, swelling, discharge, and hearing impairment. The diagnosis often requires a thorough clinical examination, including otoscopy, and may involve imaging studies if structural abnormalities are suspected. Management typically involves addressing the underlying cause, which may include antibiotics for infections, surgical interventions for structural issues, or referral to specialists for further evaluation. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed clinical notes including history, examination findings, and treatment plans.
Patients presenting with ear pain, discharge, or hearing loss.
Ensure to document any specific findings that may lead to a more precise diagnosis.
Comprehensive history and physical examination notes, including any referrals made.
Initial evaluation of ear complaints before referral to specialists.
Document the reason for referral and any preliminary treatments provided.
Often performed when patients present with hearing loss due to cerumen impaction.
Document the reason for the procedure and any prior treatments attempted.
Otolaryngologists may perform this procedure more frequently than primary care providers.
Use H61.90 when a patient presents with a disorder of the external ear that is not specified. Ensure that documentation supports the use of this unspecified code.
