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H60.322 ICD-10-CM Code: Hemorrhagic otitis externa, left ear

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

H60.322

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Hemorrhagic otitis externa, left ear

An ear canal infection affecting the left ear characterized by bleeding or blood-filled blisters in the ear canal, typically caused by viral infection.

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
H60.3Other infective otitis externa
H60.32Hemorrhagic otitis externa
H60.322Hemorrhagic otitis externa, left ear

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for H60.322 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for H60.322 in this effective period.

Related Child Codes

Official
H60.321Hemorrhagic otitis externa, right ear
H60.323Hemorrhagic otitis externa, bilateral
H60.329Hemorrhagic otitis externa, unspecified ear

Includes

Official

ICD-10-CM does not list Includes notes for H60.322 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H60.322 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H60.322 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H60.322 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H60.322 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Hemorrhagic otitis externa is often associated with viral infections; review for documented viral etiology
Distinguish from diffuse bacterial otitis externa by the presence of hemorrhage or blood-filled vesicles

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.

Is H60.322 an HCC code?

No. H60.322 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

H60.322 is the ICD-10-CM diagnosis code for hemorrhagic otitis externa, left ear. An ear canal infection affecting the left ear characterized by bleeding or blood-filled blisters in the ear canal, typically caused by viral infection. H60.322 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).

H60.322 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Hemorrhagic otitis externa is often associated with viral infections; review for documented viral etiology.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H60.322 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Hemorrhagic otitis externa is often associated with viral infections; review for documented viral etiology
  • Distinguish from diffuse bacterial otitis externa by the presence of hemorrhage or blood-filled vesicles

Child Codes

Code Hierarchy

Work H60.322 in HCC Buddy

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