H61.009 — Unspecified perichondritis of external ear, unspecified ear
H61.009 is a billable, specific ICD-10-CM code for unspecified perichondritis of external ear, unspecified ear. It is valid for submission on a claim.
Risk adjustment
H61.009 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
H61.009 is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Code history
H61.009 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 H61.009 is not quite right, the correct code is usually one of these.
Questions about H61.009
- Is H61.009 a billable ICD-10-CM code?
- Yes. H61.009 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H61.009 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).