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H60 ICD-10-CM Code: Otitis externa

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FY 2026 Apr update / Diseases of the ear and mastoid process (H60-H95) / Diseases of external ear (H60-H62)

H60

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Otitis externa

Otitis externa

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
H6Diseases of external ear (H60-H62)
H60Otitis externa

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H60 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H60 in this effective period.

Related Child Codes

Official
H60.0Abscess of external ear
H60.1Cellulitis of external ear
H60.2Malignant otitis externa
H60.3Other infective otitis externa
H60.4Cholesteatoma of external ear

Includes

Official

ICD-10-CM does not list Includes notes for H60 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H60 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H60 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H60 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H60 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

H60 is the ICD-10-CM diagnosis code for otitis externa. H60 sits in the ICD-10-CM chapter for diseases of the ear and mastoid process (h60-h95), within the section covering diseases of external ear (h60-h62).

Header codes like H60 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H60's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H60 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

H60Otitis externa
H60Otitis externa

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