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H60.03

Billable

Abscess of external ear, bilateral

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abscess is a collection of pus that forms due to infection in the external ear on both sides of the head. This is a localized infection that causes swelling, pain, and drainage from both ears.

Coding Tips

  • Verify documentation confirms bilateral (both sides) involvement before coding H60.03; if only one ear is affected, use H60.01 (right) or H60.02 (left) instead
  • Ensure the provider documents this as an abscess rather than other external ear conditions like otitis externa, as the distinction affects code selection and treatment approach

Code Hierarchy

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