H61.199
BillableNoninfective disorders of pinna, unspecified ear
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This code describes a non-infectious problem affecting the outer ear (pinna) that cannot be more specifically identified. It is used when the exact nature of the ear condition is not documented or determined.
Coding Tips
- •Use this code only when the specific noninfective pinna disorder cannot be determined; always attempt to obtain more specific documentation from the provider before defaulting to this unspecified code
- •Verify laterality is documented—if the ear is not specified, query the provider or use the 'unspecified ear' option (99) as indicated in this code
Code Hierarchy
└H61Other disorders of external ear└H61.1Noninfective disorders of pinna└H61.19Other noninfective disorders of pinna└H61.199Noninfective disorders of pinna, unspecified ear
└H61.199Noninfective disorders of pinna, unspecified ear