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v1.0.0
ICD-10 Guide
ICD-10 CodesQ17.5

Q17.5

Billable

Prominent ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q17.5 is a billable code used to indicate a diagnosis of prominent ear.

Key Diagnostic Point:

Prominent ear, also known as protruding ear, is a congenital malformation characterized by an abnormal shape or position of the ear, leading to a noticeable protrusion from the side of the head. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The prominence of the ear is typically due to an underdeveloped antihelix or an excessive conchal bowl, which can be assessed through physical examination. While prominent ears are not associated with hearing loss, they can lead to psychological distress or social stigma, particularly in children. Surgical correction, often performed in early childhood, can improve both the aesthetic appearance and the psychosocial well-being of affected individuals. Accurate coding of prominent ear is essential for proper documentation and management of the condition, especially in pediatric populations where early intervention may be beneficial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of the condition
  • Potential association with other congenital anomalies
  • Need for precise documentation of physical examination findings
  • Differentiation from other ear deformities

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to note associated congenital anomalies
  • Misclassification with other ear deformities
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Pediatric documentation should include detailed descriptions of the ear's morphology, any associated conditions, and the psychosocial impact on the child.

Common Clinical Scenarios

Common scenarios include routine pediatric examinations where prominent ears are noted, referrals for surgical evaluation, and follow-up visits post-correction.

Billing Considerations

Consideration should be given to the child's age and developmental milestones when planning interventions.

Genetics

Documentation Requirements

Genetic documentation should include family history, potential syndromic associations, and any genetic testing results.

Common Clinical Scenarios

Scenarios may involve genetic counseling for families with a history of congenital ear anomalies or syndromes that include prominent ears.

Billing Considerations

Geneticists should assess for syndromic features that may require additional coding and management.

Coding Guidelines

Inclusion Criteria

Use Q17.5 When
  • According to ICD
  • CM guidelines, congenital conditions like prominent ear should be coded based on the specific anatomical and clinical details provided in the documentation
  • Coders should ensure that all relevant information is captured to support the diagnosis

Exclusion Criteria

Do NOT use Q17.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69300CPT Code

Otoplasty

Clinical Scenario

Used for surgical correction of prominent ears in children.

Documentation Requirements

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

Specialty Considerations

Pediatric surgeons should document the rationale for surgery and any associated conditions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions like prominent ear, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like prominent ear, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 significance of coding prominent ear?

Accurate coding of prominent ear is crucial for proper management, surgical planning, and understanding the psychosocial impact on affected individuals. It also aids in tracking congenital anomalies for public health purposes.