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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 H61.009

Billable / Specific

Unspecified perichondritis of external ear, unspecified ear

H61
Block
0
Synonyms
34
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM H61.009

ICD-10-CM code H61.009 represents Unspecified perichondritis of external ear, unspecified ear. This is a billable/specific code in the Ear and Mastoid Process chapter (block H61). The 2026 edition of ICD-10-CM H61.009 became effective on October 1, 2025.

Medicare LCD Coverage for H61.009

Local Coverage Determinations (LCDs) from CMS MACs that list H61.009 as a covered diagnosis.

34 LCDs

Showing top 10 of 34 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11313 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11300 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11306 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11423 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11442 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11307 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11303 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11305 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11302 →
CMS LCD: Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Article ID: 57161, Effective: 2026-01-01 00:00:00, 335 covered, 0 non-covered
CPT 11440 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing H61.009.

1 policies

1 Medicare

Billing and Coding: Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
Policy ID: ART-57161

CPT Codes Commonly Billed with H61.009

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for H61.009

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert H61.009 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
H61.009 38000 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 H61.009, Billing FAQ

Is ICD-10 code H61.009 billable? +

Yes, H61.009 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does H61.009 map to? +

Per CMS GEMs, H61.009 maps to ICD-9 codes: 38000. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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