H61.013 — Acute perichondritis of external ear, bilateral
H61.013 is a billable, specific ICD-10-CM code for acute perichondritis of external ear, bilateral. It is valid for submission on a claim.
Risk adjustment
H61.013 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
H61.013 is named in 3 Medicare coverage policies — 3 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)
- A57482Billing and Coding: Removal of Benign Skin Lesions
Code history
H61.013 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 H61.01. If H61.013 is not quite right, the correct code is usually one of these.
Questions about H61.013
- Is H61.013 a billable ICD-10-CM code?
- Yes. H61.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H61.013 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).