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ICD-10 Guide
ICD-10 CodesH62.4

H62.4

Billable

Otitis externa in other diseases classified elsewhere

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

Code Description

ICD-10 H62.4 is a billable code used to indicate a diagnosis of otitis externa in other diseases classified elsewhere.

Key Diagnostic Point:

Otitis externa, commonly known as swimmer's ear, is an inflammation of the external auditory canal. It can occur as a complication of other diseases, such as eczema, psoriasis, or systemic diseases that affect the skin and mucous membranes. Clinically, patients may present with symptoms such as ear pain, itching, discharge, and sometimes hearing loss. The condition can be acute or chronic, with acute cases often resulting from bacterial or fungal infections, while chronic cases may be associated with underlying dermatological conditions. Diagnosis typically involves a thorough history and physical examination, including otoscopic evaluation to assess the ear canal and tympanic membrane. Management may include topical antibiotics, antifungals, or corticosteroids, depending on the underlying cause. In cases where otitis externa is secondary to other diseases, it is crucial to address the primary condition to prevent recurrence. Proper coding for this condition requires careful documentation of the underlying disease and the specific nature of the otitis externa.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of underlying diseases that may cause otitis externa.
  • Need for precise documentation linking otitis externa to other conditions.
  • Potential for misclassification if the primary disease is not clearly identified.
  • Variability in clinical presentation based on the underlying condition.

Audit Risk Factors

  • Inadequate documentation linking otitis externa to the underlying disease.
  • Failure to specify the type of otitis externa (acute vs. chronic).
  • Misuse of the code when a primary cause is not documented.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear symptoms, examination findings, and treatment plans.

Common Clinical Scenarios

Patients presenting with ear pain and discharge, particularly with a history of skin conditions.

Billing Considerations

Ensure clear documentation of the relationship between otitis externa and any underlying conditions.

Dermatology

Documentation Requirements

Comprehensive skin examination and history of skin disorders affecting the ear.

Common Clinical Scenarios

Patients with eczema or psoriasis presenting with ear symptoms.

Billing Considerations

Document the skin condition's impact on ear health to support coding.

Coding Guidelines

Inclusion Criteria

Use H62.4 When
  • According to ICD
  • 10 guidelines, H62
  • 4 should be used when otitis externa is a complication of another disease
  • Coders must ensure that the primary condition is documented and that the otitis externa is clearly linked to it

Exclusion Criteria

Do NOT use H62.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed in conjunction with treatment for otitis externa.

Documentation Requirements

Document the reason for cerumen removal and any associated conditions.

Specialty Considerations

Otolaryngologists may frequently perform this procedure in patients with otitis externa.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of otitis externa, particularly in cases where it is secondary to other diseases. This specificity aids in better tracking of healthcare outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of otitis externa, particularly in cases where it is secondary to other diseases. This specificity aids in better tracking of healthcare outcomes and resource allocation.

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

When should I use H62.4 instead of H60.3?

Use H62.4 when otitis externa is a complication of another disease, ensuring that the underlying condition is well-documented.