2020 ICD-10-CM Diagnosis Code H60.4

Cholesteatoma of external ear

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • H60.4 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM H60.4 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of H60.4 - other international versions of ICD-10 H60.4 may differ.
Applicable To
  • Keratosis obturans of external ear (canal)
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (H60.4) and the excluded code together.
  • cholesteatoma of middle ear (
    ICD-10-CM Diagnosis Code H71
  • recurrent cholesteatoma of postmastoidectomy cavity (
    ICD-10-CM Diagnosis Code H95.0

    Recurrent cholesteatoma of postmastoidectomy cavity

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
The following code(s) above H60.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to H60.4:
  • H60-H95
    2020 ICD-10-CM Range H60-H95

    Diseases of the ear and mastoid process

    • Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the ear and mastoid process
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to H60.4:
  • Type 2 Excludes: H71
    ICD-10-CM Diagnosis Code H71

    Cholesteatoma of middle ear

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • cholesteatoma of external ear (H60.4-)
    • recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)

Diagnosis Index entries containing back-references to H60.4:
  • Cholesteatoma (ear) (middle) (with reaction) H71.9-
    ICD-10-CM Diagnosis Code H71.9-

    Unspecified cholesteatoma

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    • external ear H60.4- (canal)

ICD-10-CM Codes Adjacent To H60.4
H60.33 Swimmer's ear
H60.331 …… right ear
H60.332 …… left ear
H60.333 …… bilateral
H60.339 …… unspecified ear
H60.39 Other infective otitis externa
H60.391 …… right ear
H60.392 …… left ear
H60.393 …… bilateral
H60.399 …… unspecified ear
H60.4 Cholesteatoma of external ear
H60.40 …… unspecified ear
H60.41 Cholesteatoma of right external ear
H60.42 Cholesteatoma of left external ear
H60.43 …… bilateral
H60.5 Acute noninfective otitis externa
H60.50 Unspecified acute noninfective otitis externa
H60.501 …… right ear
H60.502 …… left ear
H60.503 …… bilateral
H60.509 …… unspecified ear

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.