ICD-10 Code H60.323 – Hemorrhagic otitis externa, bilateral (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Hemorrhagic otitis externa, bilateral is H60.323.
2026 ICD-10-CM Diagnosis Code H60.323 – Hemorrhagic otitis externa, bilateral

What it is

This code identifies hemorrhagic inflammation of the external ear canal in both ears. It is used when the record specifically documents bleeding or bloody discharge with otitis externa on both sides.

Clinical signs

Typical findings include ear canal inflammation, pain, swelling, and visible blood or hemorrhagic drainage. Clinical features vary; refer to documentation.

When to use this code

Use H60.323 when the provider documents hemorrhagic otitis externa affecting both ears. The note should clearly support bilateral involvement and the hemorrhagic nature of the infection or inflammation. If the record only states otitis externa without bleeding, check documentation.

Do not use for

Do not use this code for unilateral hemorrhagic otitis externa or for nonspecific otitis externa without hemorrhage. If the chart does not confirm bilateral disease, choose the more accurate documented code.

Coding tip

Verify both laterality and hemorrhagic wording in the provider note before assigning H60.323.

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