Is H60.5 a billable ICD-10-CM code?

No. H60.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H60.5 sit in the tabular list?

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

H60.5

H60.5 — Acute noninfective otitis externa

Non-billable headerICD-10-CM

H60.5 is a non-billable header ICD-10-CM code for acute noninfective otitis externa. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

H60.5 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 to one of these instead H60.5

7 child codes. Green means billable.

H60.50Unspecified acute noninfective otitis externa
H60.51Acute actinic otitis externa
H60.52Acute chemical otitis externa
H60.53Acute contact otitis externa
H60.54Acute eczematoid otitis externa
H60.55Acute reactive otitis externa
H60.59Other noninfective acute otitis externa

Related codes at this level

Codes that share H60. If H60.5 is not quite right, the correct code is usually one of these.

H60.0Abscess of external ear
H60.1Cellulitis of external ear
H60.2Malignant otitis externa
H60.3Other infective otitis externa
H60.4Cholesteatoma of external ear
H60.6Unspecified chronic otitis externa
H60.8Other otitis externa
H60.9Unspecified otitis externa

Questions about H60.5

Is H60.5 a billable ICD-10-CM code?: No. H60.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H60.5 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).