Version 2024

2024 ICD-10-CM Diagnosis Code H60.4

Cholesteatoma of external ear

ICD-10-CM Code:
H60.4
ICD-10 Code for:
Cholesteatoma of external ear
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the ear and mastoid process
    (H60–H95)
    • Diseases of external ear
      (H60-H62)
      • Otitis externa
        (H60)

H60.4 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of cholesteatoma of external ear. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Cholesteatoma of external ear

Non-specific codes like H60.4 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for cholesteatoma of external ear:

  • Use H60.40 for Cholesteatoma of external ear, unspecified ear - BILLABLE CODE

  • Use H60.41 for Cholesteatoma of right external ear - BILLABLE CODE

  • Use H60.42 for Cholesteatoma of left external ear - BILLABLE CODE

  • Use H60.43 for Cholesteatoma of external ear, bilateral - BILLABLE CODE

Clinical Information

  • Otitis Externa

    inflammation of the outer ear including the external ear canal, cartilages of the auricle (ear cartilage), and the tympanic membrane.

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Ear Infections

Ear infections are the most common reason parents bring their child to a doctor. Three out of four children will have at least one ear infection by their third birthday. Adults can also get ear infections, but they are less common.

The infection usually affects the middle ear and is called otitis media. The tubes inside the ears become clogged with fluid and mucus. This can affect hearing, because sound cannot get through all that fluid.

If your child isn't old enough to say "My ear hurts," here are a few things to look for:

  • Tugging at ears
  • Crying more than usual
  • Fluid draining from the ear
  • Trouble sleeping
  • Balance difficulties
  • Hearing problems

Your health care provider will diagnose an ear infection by looking inside the ear with an instrument called an otoscope.

Often, ear infections go away on their own. Your health care provider may recommend pain relievers. Severe infections and infections in young babies may require antibiotics.

Children who get infections often may need surgery to place small tubes inside their ears. The tubes relieve pressure in the ears so that the child can hear again.

NIH: National Institute on Deafness and Other Communication Disorders


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.