Is H61.003 a billable ICD-10-CM code?

Yes. H61.003 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H61.003 sit in the tabular list?

Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).

H61.003

H61.003 — Unspecified perichondritis of external ear, bilateral

Billable / specific codeICD-10-CMbilateral

H61.003 is a billable, specific ICD-10-CM code for unspecified perichondritis of external ear, bilateral. It is valid for submission on a claim.

Risk adjustment

H61.003 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

H61.003 is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A57113Billing and Coding: Removal of Benign Skin Lesions
A57161Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)

Code history

H61.003 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share H61.00. If H61.003 is not quite right, the correct code is usually one of these.

Questions about H61.003

Is H61.003 a billable ICD-10-CM code?: Yes. H61.003 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H61.003 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).