H61.123
Hematoma of pinna, bilateral
BillableComplete code, valid to report
Care settingsHome Health Primary · MMTA - Other
H61.123 (also written H61123) is a billable ICD-10-CM diagnosis code for hematoma of pinna, bilateral. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 64 codes in category H61 (Other disorders of external ear). Its coding notes include 10 Excludes2 entries.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Inherited from H61.1 Noninfective disorders of pinna
Also from chapter/block level (8 notes)
Inherited from Chapter 8 Diseases of the ear and mastoid process
- 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)
Care settings
How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.
Home Health Primary
Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.
Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026Notes
Also from chapter/block level (1 note)
Inherited from Chapter 8 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