Valid for Submission
H60.319 is a billable diagnosis code used to specify a medical diagnosis of diffuse otitis externa, unspecified ear. The code H60.319 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H60.319 might also be used to specify conditions or terms like diffuse otitis externa.
Unspecified diagnosis codes like H60.319 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The code H60.319 is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Acute Otitis Externa (aoe): Systemic Antimicrobial Therapy - Avoidance Of Inappropriate Use.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Diffuse otitis externa
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|154||OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC||03||1.5425|
|155||OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC||03||0.9068|
|156||OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC||03||0.6576|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert H60.319 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H60.319 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Quality Payment Program Measures
When code H60.319 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
|Quality Measure||Description||Quality Domain||Measure Type||High Priority||Submission Methods|
|Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use||Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy.||Efficiency and Cost Reduction||Process||YES||Claims, Registry|
Information for Patients
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]