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H61.023

Billable

Chronic 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 condition involves long-term inflammation of the cartilage that surrounds the external ear on both sides of the head. It can cause pain, swelling, and potential deformity of the ear if left untreated.

Coding Tips

  • Verify documentation specifies 'bilateral' (both ears) before assigning this code; use H61.021 or H61.022 for unilateral cases
  • Confirm the condition is documented as 'chronic' rather than acute; chronic perichondritis typically persists for weeks to months and may require ongoing treatment

Code Hierarchy

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