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H61.11 ICD-10-CM Code: Acquired deformity of pinna

ICD-10-CM Code View

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

H61.11

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Acquired deformity of pinna

Acquired deformity of pinna

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
H61Other disorders of external ear
H61.1Noninfective disorders of pinna
H61.11Acquired deformity of pinna

Inclusion Terms

Official
  • Acquired deformity of auricle

Excludes 2

Official
  • cauliflower ear (M95.1-)

Related Child Codes

Official
H61.111Acquired deformity of pinna, right ear
H61.112Acquired deformity of pinna, left ear
H61.113Acquired deformity of pinna, bilateral
H61.119Acquired deformity of pinna, unspecified ear

Includes

Official

ICD-10-CM does not list Includes notes for H61.11 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for H61.11 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for H61.11 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for H61.11 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for H61.11 in this effective period.

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.

Coder workflow notes

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What This Code Means

H61.11 is the ICD-10-CM diagnosis code for acquired deformity of pinna. H61.11 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).

Header codes like H61.11 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at H61.11's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for H61.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

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