H60.323 ICD-10-CM Code: Hemorrhagic otitis externa, bilateral
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FY 2026 Apr update / Diseases of the ear and mastoid process (H60-H95) / Diseases of external ear (H60-H62)
H60.323
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceHemorrhagic otitis externa, bilateral
This condition involves bleeding and inflammation in the ear canal on both sides of the head. It typically results from trauma, infection, or other irritation that causes blood vessels in the outer ear to rupture and bleed.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H60.323 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H60.323 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H60.323 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H60.323 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H60.323 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H60.323 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H60.323 in this effective period.
Buddy Documentation Tip
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 H60.323 an HCC code?
No. H60.323 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
H60.323 is the ICD-10-CM diagnosis code for hemorrhagic otitis externa, bilateral. This condition involves bleeding and inflammation in the ear canal on both sides of the head. It typically results from trauma, infection, or other irritation that causes blood vessels in the outer ear to rupture and bleed. H60.323 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).
H60.323 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.
Verify that the hemorrhagic otitis externa is documented as bilateral (affecting both ears) before assigning this code; if only one ear is affected, use H60.321 or H60.322 instead.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H60.323 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify that the hemorrhagic otitis externa is documented as bilateral (affecting both ears) before assigning this code; if only one ear is affected, use H60.321 or H60.322 instead
- •Investigate the underlying cause of the hemorrhagic otitis externa (trauma, infection, dermatitis) as this may require an additional diagnosis code to fully capture the clinical picture