H60.93 ICD-10-CM Code: Unspecified 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)
H60.93
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceUnspecified otitis externa, bilateral
This code describes an infection or inflammation of the outer ear canal affecting both ears, where the specific cause or type has not been determined. It's commonly known as swimmer's ear when caused by water exposure or bacterial infection.
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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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for H60.93 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for H60.93 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for H60.93 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for H60.93 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for H60.93 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for H60.93 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for H60.93 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 H60.93 an HCC code?
No. H60.93 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
H60.93 is the ICD-10-CM diagnosis code for unspecified otitis externa, bilateral. This code describes an infection or inflammation of the outer ear canal affecting both ears, where the specific cause or type has not been determined. It's commonly known as swimmer's ear when caused by water exposure or bacterial infection. H60.93 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).
H60.93 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.
Use this code only when otitis externa is documented as bilateral and the specific type (acute, chronic, malignant) cannot be determined from the medical record.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H60.93 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when otitis externa is documented as bilateral and the specific type (acute, chronic, malignant) cannot be determined from the medical record
- •If the provider documents a specific type of otitis externa (such as acute, chronic, or malignant), select the appropriate more specific code instead of the unspecified code