ICD-10 Code H61.23 – Impacted cerumen, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code H61.23 – Impacted cerumen, bilateral
What it is
Impacted cerumen, bilateral means earwax is tightly packed in both ear canals. It can block sound conduction and interfere with a normal ear exam.
Clinical signs
Common findings include reduced hearing, ear fullness, or a sense of blockage. On otoscopy, you may see cerumen obstructing both external ear canals; clinical features vary, refer to documentation.
When to use this code
Use this code when the clinician documents impacted cerumen in both ears. It fits visits for evaluation, removal attempts, or confirmation of bilateral obstruction on exam. Code only when the condition is clearly documented.
Do not use for
Do not use it for simple earwax presence without impaction, or when only one ear is affected. Check documentation if the note describes another ear disorder or uncertain laterality.
Coding tip
Confirm bilateral involvement in the assessment or exam before assigning H61.23.