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Home/Diagnosis/ICD-10 Coding for Cerumen Impaction

ICD-10 Coding for Cerumen Impaction

H61.21
H61.22
H61.23

Complete ICD-10-CM coding and documentation guide for icd-10 coding for cerumen impaction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Earwax Buildup
Impacted Earwax
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Key Information: ICD-10 Coding for Cerumen Impaction

Essential facts and insights about ICD-10 Coding for Cerumen Impaction

Use ICD-10 code H61.21 for impacted cerumen, right ear, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Impacted cerumen, right ear

Billable Code
H61.21
Billable

Diagnostic Criteria

clinical:
  • • Complete occlusion of ear canal by cerumen
documentation:
  • • Detailed procedure note including time and instruments used

Applicable To

  • • Complete occlusion of right ear canal by cerumen

Important Notes

  • • Ensure laterality is documented clearly to avoid unspecified coding.

Impacted cerumen, left ear

Billable Code
H61.22
Billable

Diagnostic Criteria

clinical:
  • • Complete occlusion of ear canal by cerumen
documentation:
  • • Detailed procedure note including time and instruments used

Applicable To

  • • Complete occlusion of left ear canal by cerumen

Important Notes

  • • Ensure laterality is documented clearly to avoid unspecified coding.

Impacted cerumen, bilateral

Billable Code
H61.23
Billable

Diagnostic Criteria

clinical:
  • • Complete occlusion of ear canal by cerumen
documentation:
  • • Detailed procedure note including time and instruments used

Applicable To

  • • Complete occlusion of both ear canals by cerumen

Important Notes

  • • Ensure laterality is documented clearly to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.10

Encounter for examination of ears and hearing without abnormal findings

Use when cerumen is found incidentally during a routine exam.

Z01.118

Encounter for examination of ears and hearing with other abnormal findings

Use when cerumen is found incidentally during a routine exam.

Frequently Asked Questions

What is the ICD-10 code for cerumen impaction?

The ICD-10 codes for cerumen impaction are H61.21 for the right ear, H61.22 for the left ear, and H61.23 for bilateral cases.

How do you code bilateral cerumen removal?

For bilateral cerumen removal, use ICD-10 code H61.23. Note that Medicare does not accept modifier 50 for procedure code 69210.

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