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H61.013

Billable

Acute perichondritis of external ear, bilateral

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

What This Code Means

This code describes a sudden inflammation of the cartilage surrounding both ears on the outside. It's a painful condition that affects the structural cartilage of the external ear on both sides of the head.

Coding Tips

  • Verify documentation specifies 'bilateral' (both ears) before assigning this code; if only one ear is affected, use H61.011 or H61.012 instead
  • Ensure the condition is documented as 'acute' rather than chronic; acute perichondritis typically develops suddenly and may require urgent treatment

Code Hierarchy

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