Valid for Submission
H61.21 is a billable code used to specify a medical diagnosis of impacted cerumen, right ear. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code H61.21 might also be used to specify conditions or terms like excessive cerumen in ear canal or impacted cerumen or impacted cerumen in right ear or wax in ear canal.
The code H61.21 is not usually sufficient justification for admission to an acute care hospital when used as a principal diagnosis.
|Short Description:||Impacted cerumen, right ear|
|Long Description:||Impacted cerumen, right ear|
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code H61.21 are found in the index:
- - Ear - See Also: condition;
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
- Questionable admission codes - Some diagnoses are not usually sufficient justification for admission to an acute care hospital. For example, if a patient is given code R030 for elevated blood pressure reading, without diagnosis of hypertension, then the patient would have a questionable admission, since elevated blood pressure reading is not normally sufficient justification for admission to a hospital.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Excessive cerumen in ear canal
- Impacted cerumen
- Impacted cerumen in right ear
- Wax in ear canal
Diagnostic Related Groups
The ICD-10 code H61.21 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2020 through 09/30/2020.
- 154 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
- 155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
- 156 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
Convert H61.21 to ICD-9
- 380.4 - Impacted cerumen (Approximate Flag)
Diseases of the ear and mastoid process (H60–H95)
Diseases of external ear (H60-H62)
Other disorders of external ear (H61)
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
(First year ICD-10-CM implemented into the HIPAA code set)
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020