ICD-10 · PDGM grouping
H61 Other disorders of external ear
All 64 codes in the H61 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
64
Can lead a claim
45
Cannot lead a claim
19
What CMS assigns to H61
45 of the 64 codes group to MMTA - Other; 19 are assigned no clinical group. None of the 64 is assigned a comorbidity subgroup. 45 of the 64 can lead a claim.
Every code in H61
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| H61.0 Chondritis and perichondritis of external ear | ||||
| H61.00 Unspecified perichondritis of external ear | ||||
| H61.001 | Unspecified perichondritis of right external ear | Can lead a claim | A | None |
| H61.002 | Unspecified perichondritis of left external ear | Can lead a claim | A | None |
| H61.003 | Unspecified perichondritis of external ear, bilateral | Can lead a claim | A | None |
| H61.009 | Unspecified perichondritis of external ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.01 Acute perichondritis of external ear | ||||
| H61.011 | Acute perichondritis of right external ear | Can lead a claim | A | None |
| H61.012 | Acute perichondritis of left external ear | Can lead a claim | A | None |
| H61.013 | Acute perichondritis of external ear, bilateral | Can lead a claim | A | None |
| H61.019 | Acute perichondritis of external ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.02 Chronic perichondritis of external ear | ||||
| H61.021 | Chronic perichondritis of right external ear | Can lead a claim | A | None |
| H61.022 | Chronic perichondritis of left external ear | Can lead a claim | A | None |
| H61.023 | Chronic perichondritis of external ear, bilateral | Can lead a claim | A | None |
| H61.029 | Chronic perichondritis of external ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.03 Chondritis of external ear | ||||
| H61.031 | Chondritis of right external ear | Can lead a claim | A | None |
| H61.032 | Chondritis of left external ear | Can lead a claim | A | None |
| H61.033 | Chondritis of external ear, bilateral | Can lead a claim | A | None |
| H61.039 | Chondritis of external ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.1 Noninfective disorders of pinna | ||||
| H61.10 Unspecified noninfective disorders of pinna | ||||
| H61.101 | Unspecified noninfective disorders of pinna, right ear | Can lead a claim | A | None |
| H61.102 | Unspecified noninfective disorders of pinna, left ear | Can lead a claim | A | None |
| H61.103 | Unspecified noninfective disorders of pinna, bilateral | Can lead a claim | A | None |
| H61.109 | Unspecified noninfective disorders of pinna, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.11 Acquired deformity of pinna | ||||
| H61.111 | Acquired deformity of pinna, right ear | Can lead a claim | A | None |
| H61.112 | Acquired deformity of pinna, left ear | Can lead a claim | A | None |
| H61.113 | Acquired deformity of pinna, bilateral | Can lead a claim | A | None |
| H61.119 | Acquired deformity of pinna, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.12 Hematoma of pinna | ||||
| H61.121 | Hematoma of pinna, right ear | Can lead a claim | A | None |
| H61.122 | Hematoma of pinna, left ear | Can lead a claim | A | None |
| H61.123 | Hematoma of pinna, bilateral | Can lead a claim | A | None |
| H61.129 | Hematoma of pinna, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.19 Other noninfective disorders of pinna | ||||
| H61.191 | Noninfective disorders of pinna, right ear | Can lead a claim | A | None |
| H61.192 | Noninfective disorders of pinna, left ear | Can lead a claim | A | None |
| H61.193 | Noninfective disorders of pinna, bilateral | Can lead a claim | A | None |
| H61.199 | Noninfective disorders of pinna, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.2 Impacted cerumen | ||||
| H61.20 | Impacted cerumen, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.21 | Impacted cerumen, right ear | Can lead a claim | A | None |
| H61.22 | Impacted cerumen, left ear | Can lead a claim | A | None |
| H61.23 | Impacted cerumen, bilateral | Can lead a claim | A | None |
| H61.3 Acquired stenosis of external ear canal | ||||
| H61.30 Acquired stenosis of external ear canal, unspecified | ||||
| H61.301 | Acquired stenosis of right external ear canal, unspecified | Can lead a claim | A | None |
| H61.302 | Acquired stenosis of left external ear canal, unspecified | Can lead a claim | A | None |
| H61.303 | Acquired stenosis of external ear canal, unspecified, bilateralCMS: Acquired stenosis of external ear canal, unsp, bilateral | Can lead a claim | A | None |
| H61.309 | Acquired stenosis of external ear canal, unspecified, unspecified earCMS: Acquired stenosis of external ear canal, unsp, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.31 Acquired stenosis of external ear canal secondary to trauma | ||||
| H61.311 | Acquired stenosis of right external ear canal secondary to traumaCMS: Acquired stenosis of r ext ear canal secondary to trauma | Can lead a claim | A | None |
| H61.312 | Acquired stenosis of left external ear canal secondary to traumaCMS: Acquired stenosis of l ext ear canal secondary to trauma | Can lead a claim | A | None |
| H61.313 | Acquired stenosis of external ear canal secondary to trauma, bilateralCMS: Acquired stenosis of ext ear canal secondary to trauma, bi | Can lead a claim | A | None |
| H61.319 | Acquired stenosis of external ear canal secondary to trauma, unspecified earCMS: Acquired stenosis of ext ear canal sec to trauma, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.32 Acquired stenosis of external ear canal secondary to inflammation and infection | ||||
| H61.321 | Acquired stenosis of right external ear canal secondary to inflammation and infectionCMS: Acquired stenosis of r ext ear canal sec to inflam and infct | Can lead a claim | A | None |
| H61.322 | Acquired stenosis of left external ear canal secondary to inflammation and infectionCMS: Acquired stenosis of l ext ear canal sec to inflam and infct | Can lead a claim | A | None |
| H61.323 | Acquired stenosis of external ear canal secondary to inflammation and infection, bilateralCMS: Acq stenosis of ext ear canal sec to inflam and infct, bi | Can lead a claim | A | None |
| H61.329 | Acquired stenosis of external ear canal secondary to inflammation and infection, unspecified earCMS: Acq stenos of ext ear canal sec to inflam & infct, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.39 Other acquired stenosis of external ear canal | ||||
| H61.391 | Other acquired stenosis of right external ear canal | Can lead a claim | A | None |
| H61.392 | Other acquired stenosis of left external ear canal | Can lead a claim | A | None |
| H61.393 | Other acquired stenosis of external ear canal, bilateral | Can lead a claim | A | None |
| H61.399 | Other acquired stenosis of external ear canal, unspecified earCMS: Other acquired stenosis of external ear canal, unsp ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.8 Other specified disorders of external ear | ||||
| H61.81 Exostosis of external canal | ||||
| H61.811 | Exostosis of right external canal | Can lead a claim | A | None |
| H61.812 | Exostosis of left external canal | Can lead a claim | A | None |
| H61.813 | Exostosis of external canal, bilateral | Can lead a claim | A | None |
| H61.819 | Exostosis of external canal, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.89 Other specified disorders of external ear | ||||
| H61.891 | Other specified disorders of right external ear | Can lead a claim | A | None |
| H61.892 | Other specified disorders of left external ear | Can lead a claim | A | None |
| H61.893 | Other specified disorders of external ear, bilateral | Can lead a claim | A | None |
| H61.899 | Other specified disorders of external ear, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.9 Disorder of external ear, unspecified | ||||
| H61.90 | Disorder of external ear, unspecified, unspecified ear | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.91 | Disorder of right external ear, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.92 | Disorder of left external ear, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| H61.93 | Disorder of external ear, unspecified, bilateral | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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