H61.23
Impacted cerumen, bilateral
Diseases of the ear and mastoid process Billable
Quick Reference
Earwax blocking ear canal causing symptoms in both ears
Clinical Information
When to Use This Code
Earwax blocking ear canal causing symptoms in both ears
Common Clinical Scenarios
- Hearing loss from cerumen
- Ear irrigation procedure
- Manual cerumen removal
- Otalgia from wax impaction
Documentation Requirements
- Document symptoms (hearing loss, fullness, tinnitus)
- Record otoscopic findings
- Note if cerumen removal performed
- Specify method (irrigation, manual removal, drops)
Coding Guidelines
Inclusion Terms
These terms are included in this code:
Earwax impactionCerumen impaction, both earsWax blockage
Exclusion Terms
Do NOT use this code for:
- Unilateral cerumen impaction (H61.21, H61.22)
- External auditory canal stenosis (H61.3-)
Coding Notes
Common cause of conductive hearing loss
Do not irrigate if TM perforation suspected
Cerumenolytic drops may help
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
H61.23
Category
Diseases of the ear and mastoid process
Billable Status
Billable
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