H61.001
H61.001 — Unspecified perichondritis of right external ear
Billable / specific codeICD-10-CMright
H61.001 is a billable, specific ICD-10-CM code for unspecified perichondritis of right external ear. It is valid for submission on a claim.
Risk adjustment
H61.001 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
H61.001 is named in 2 Medicare coverage policies — 2 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)
Related codes at this level
Codes that share H61.00. If H61.001 is not quite right, the correct code is usually one of these.
Questions about H61.001
- Is H61.001 a billable ICD-10-CM code?
- Yes. H61.001 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does H61.001 sit in the tabular list?
- Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).