Is H60.43 a billable ICD-10-CM code?

Yes. H60.43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H60.43 sit in the tabular list?

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

H60.43

H60.43 — Cholesteatoma of external ear, bilateral

Billable / specific codeICD-10-CMbilateral

H60.43 is a billable, specific ICD-10-CM code for cholesteatoma of external ear, bilateral. It is valid for submission on a claim.

Excludes2 inherited from the categories above H60.43

Also inherited, and the opposite of Excludes1: these conditions are not part of H60.43, but a patient can have both, so you may code both.

Written on H60.4 — Cholesteatoma of external ear

cholesteatoma of middle ear (H71.-)
recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)

Risk adjustment

H60.43 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.

Code history

H60.43 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 H60.4. If H60.43 is not quite right, the correct code is usually one of these.

Questions about H60.43

Is H60.43 a billable ICD-10-CM code?: Yes. H60.43 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H60.43 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).