ICD-10 Code H60.2 – Malignant otitis externa (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H60.2 – Malignant otitis externa
What it is
H60.2 identifies malignant otitis externa, a severe infection of the external ear canal that can spread to nearby tissue. You use it for the documented diagnosis, not for uncomplicated swimmer’s ear.
Clinical signs
Typical findings include severe ear pain, persistent otorrhea, and tenderness of the external ear canal. Clinical features vary; refer to documentation, especially if skull base involvement or cranial nerve findings are noted.
When to use this code
Use H60.2 when the provider documents malignant, necrotizing, or invasive otitis externa. It is appropriate when the record describes infection extending beyond the canal or requiring evaluation for deeper spread. If the note only says otitis externa without severity, check documentation.
Do not use for
Do not use this code for routine acute or chronic otitis externa without malignant features. Also avoid it when the diagnosis is uncertain or the chart only mentions ear pain, drainage, or external ear inflammation.
Coding tip
Code H60.2 only when the clinician clearly documents malignant otitis externa; otherwise, query or code the more specific documented ear condition.