Is H61.323 a billable ICD-10-CM code?

Yes. H61.323 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does H61.323 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 H61.323?

H61.323 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H61.323 (H61.3) and apply to it just the same.

H61.323

H61.323 — Acquired stenosis of external ear canal secondary to inflammation and infection, bilateral

Billable / specific codeICD-10-CMbilateral

H61.323 is a billable, specific ICD-10-CM code for acquired stenosis of external ear canal secondary to inflammation and infection, bilateral. It is valid for submission on a claim.

Excludes1 inherited from the categories above H61.323

These are not written on H61.323, but they bind it: a note on a category applies to every code beneath it. Billing H61.323 with anything listed here is a denial.

Written on H61.3 — Acquired stenosis of external ear canal

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

Risk adjustment

H61.323 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

H61.323 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

H61.323 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 H61.32. If H61.323 is not quite right, the correct code is usually one of these.

Questions about H61.323

Is H61.323 a billable ICD-10-CM code?: Yes. H61.323 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does H61.323 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 H61.323?: H61.323 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above H61.323 (H61.3) and apply to it just the same.