Valid for Submission
H60.559 is a billable diagnosis code used to specify a medical diagnosis of acute reactive otitis externa, unspecified ear. The code H60.559 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 H60.559 might also be used to specify conditions or terms like acute irritant otitis externa, acute non-infective otitis externa or allergic otitis externa.
Unspecified diagnosis codes like H60.559 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 H60.559 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:
- Acute irritant otitis externa
- Acute non-infective otitis externa
- Allergic 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 H60.559 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H60.559 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 H60.559 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
Your ear has three main parts: outer, middle and inner. You use all of them in hearing. Sound waves come in through your outer ear. They reach your middle ear, where they make your eardrum vibrate. The vibrations are transmitted through three tiny bones, called ossicles, in your middle ear. The vibrations travel to your inner ear, a snail-shaped organ. The inner ear makes the nerve impulses that are sent to the brain. Your brain recognizes them as sounds. The inner ear also controls balance.
A variety of conditions may affect your hearing or balance:
- Ear infections are the most common illness in infants and young children.
- Tinnitus, a roaring in your ears, can be the result of loud noises, medicines or a variety of other causes.
- Meniere's disease may be the result of fluid problems in your inner ear; its symptoms include tinnitus and dizziness.
- Ear barotrauma is an injury to your ear because of changes in barometric (air) or water pressure.
Some ear disorders can result in hearing disorders and deafness.
[Learn More in MedlinePlus]