H61.811
H61.811 — Exostosis of right external canal
Billable / specific codeICD-10-CMright
H61.811 is a billable, specific ICD-10-CM code for exostosis of right external canal. It is valid for submission on a claim.
Risk adjustment
H61.811 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
H61.811 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.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Code history
H61.811 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 H61.81. If H61.811 is not quite right, the correct code is usually one of these.
Questions about H61.811
- Is H61.811 a billable ICD-10-CM code?
- Yes. H61.811 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H61.811 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).