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H60.92
ICD-10-CM
Left Otitis Externa

Find information on Left Otitis Externa diagnosis, including clinical documentation, ICD-10 code H62.22, medical coding, and healthcare guidance. Learn about swimmer's ear, symptoms, treatment, and appropriate medical terminology for accurate record keeping and billing. This resource supports healthcare professionals in accurately documenting and coding Left Otitis Externa for optimal patient care and reimbursement.

Also known as

Swimmer's Ear Left Ear
External Ear Infection Left Ear

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of the outer ear canal.
  • Clinical Signs : Ear pain, itching, redness, swelling, discharge, hearing loss.
  • Common Settings : Swimming, trauma, hearing aids, humid environments.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H60.92 Coding
H60-H62

Diseases of external ear

Conditions affecting the outer ear structures.

H65-H75

Diseases of middle ear and mastoid

Disorders involving the middle ear and mastoid process.

J00-J99

Diseases of the respiratory system

Conditions affecting the respiratory tract, sometimes related to ear infections.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the left otitis externa specified as infectious?

  • Yes

    Is it due to Pseudomonas?

  • No

    Is it specified as noninfectious?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Outer ear infection
Acute Otitis Media
Swimmers Ear (Otitis Externa)

Documentation Best Practices

Documentation Checklist
  • Laterality (left ear) documented
  • Otoscopic exam findings described
  • Symptoms (e.g., pain, itching) noted
  • Diagnosis ICD-10 H60.92, H60.93 documented
  • Treatment plan documented

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (left, right, bilateral) for otitis externa can lead to inaccurate coding and claims rejection. Use ICD-10-CM coding guidelines for proper laterality documentation.

  • Specificity of Diagnosis

    Coding otitis externa without specifying infective vs non-infective (e.g., contact dermatitis, eczema) or acute/chronic nature leads to coding errors and impacts reimbursement.

  • Unspecified Otitis Externa

    Using unspecified codes like H60.9 when a more specific diagnosis is documented in the medical record can trigger audits and denials. CDI should query for clarification.

Mitigation Tips

Best Practices
  • Thorough ear exam, proper ICD-10-CM (H61.2-) coding for accurate reimbursement.
  • Document laterality, severity, discharge, pain, and treatment (e.g., topical drops) in detail.
  • Educate patients on preventive measures: avoid inserting objects in ear canal, proper drying.
  • Monitor treatment response, document improvement for compliant medical necessity validation.
  • Consider cultures for persistent symptoms, adjust treatment as needed for optimal outcomes.

Clinical Decision Support

Checklist
  • Verify ear canal inflammation, swelling, or redness
  • Confirm otalgia or ear discomfort
  • Check for pruritus or ear itching
  • Rule out middle ear infection (otitis media)

Reimbursement and Quality Metrics

Impact Summary
  • Left Otitis Externa Reimbursement: ICD-10 H61.9, CPT 99202-99215 (Eval & Mgmt), 69210 (Cerumen Removal). Accurate coding maximizes reimbursement.
  • Quality Metrics Impact: Otitis Externa treatment success (symptom resolution, reduced antibiotic use), patient satisfaction scores.
  • Coding Accuracy Impact: Correct laterality coding (left ear) crucial for data integrity, reporting accuracy, and appropriate reimbursement.
  • Hospital Reporting Impact: Accurate diagnosis coding affects infection control surveillance, antibiotic stewardship program reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code H60.22 for left OE
  • Document OE symptoms clearly
  • Laterality crucial for coding
  • Avoid unspecified OE codes
  • Check for MCC/CC conditions

Documentation Templates

Patient presents with complaints consistent with left otitis externa.  Symptoms include left ear pain, pruritus, and aural fullness.  On examination, the left ear canal exhibits erythema, edema, and debris.  Tenderness to palpation of the tragus and pinna is noted.  The tympanic membrane is visualized and appears normal, ruling out otitis media.  Diagnosis of left otitis externa is made based on clinical presentation and physical exam findings.  Differential diagnosis includes impacted cerumen, foreign body, and otomycosis.  Treatment plan includes topical antibiotic otic drops with or without corticosteroid, patient education on proper ear hygiene, and avoidance of water exposure to the affected ear.  Follow-up is recommended if symptoms do not improve within 7-10 days.  ICD-10 code H62.20, Left otitis externa, unspecified, is assigned.  This diagnosis is consistent with acute otitis externa symptoms and aligns with current clinical guidelines for diagnosis and management.  Patient understands the treatment plan and instructions provided.
Left Otitis Externa - AI-Powered ICD-10 Documentation