ICD-10 H62.4
Non-Billable HeaderOtitis externa in other diseases classified elsewhere
About ICD-10-CM H62.4
ICD-10-CM code H62.4 represents Otitis externa in other diseases classified elsewhere. This is a non-billable header code in the Ear and Mastoid Process chapter (block H62). The 2026 edition of ICD-10-CM H62.4 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with H62.4. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- otitis externa (in):
- candidiasis (B37.84)
- herpes viral [herpes simplex] (B00.1)
- herpes zoster (B02.8)
Coding Notes
Code First
- underlying disease, such as:
- erysipelas (A46)
- impetigo (L01.0-)
Medicare LCD Coverage for H62.4
Local Coverage Determinations (LCDs) from CMS MACs that list H62.4 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing H62.4.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but H62.4 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with H62.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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.
Codes Adjacent To H62.4
Other codes in section H60-H62 (Diseases of external ear).
ICD-10 H62.4, Billing FAQ
Is ICD-10 code H62.4 billable? +
No, H62.4 is a non-billable header code. Use a more specific child code from block H62 when submitting claims.
What codes are Type 1 Excludes for H62.4? +
Type 1 Excludes (never code together with H62.4): otitis externa (in):; candidiasis (B37.84); herpes viral [herpes simplex] (B00.1)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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