Is H61.3 a billable ICD-10-CM code?

No. H61.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does H61.3 sit in the tabular list?

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

What cannot be coded together with H61.3?

H61.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.

H61.3

H61.3 — Acquired stenosis of external ear canal

Non-billable headerICD-10-CM

H61.3 is a non-billable header ICD-10-CM code for acquired stenosis of external ear canal. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

postprocedural stenosis of external ear canal (H95.81-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Collapse of external ear canal

Risk adjustment

H61.3 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

H61.3 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead H61.3

4 child codes. Green means billable.

Related codes at this level

Codes that share H61. If H61.3 is not quite right, the correct code is usually one of these.

Questions about H61.3

Is H61.3 a billable ICD-10-CM code?: No. H61.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does H61.3 sit in the tabular list?: Diseases of the ear and mastoid process (H60-H95), in the block Diseases of external ear (H60-H62).
What cannot be coded together with H61.3?: H61.3 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.