ICD-10 Code H68.13 – Extrinsic cartilagenous obstruction of Eustachian tube (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Extrinsic cartilagenous obstruction of Eustachian tube is H68.13.
2026 ICD-10-CM Diagnosis Code H68.13 – Extrinsic cartilagenous obstruction of Eustachian tube

What it is

This code identifies blockage of the cartilaginous part of the Eustachian tube caused by something outside the tube. It is used when the obstruction is extrinsic rather than from disease within the tube itself.

Clinical signs

Clinical features vary; refer to documentation. Commonly documented findings include Eustachian tube dysfunction, ear fullness, muffled hearing, or pressure-related symptoms when the tube cannot open normally.

When to use this code

Use H68.13 when the record clearly states extrinsic obstruction of the cartilaginous Eustachian tube. This may apply when a mass, swelling, or nearby structure is documented as causing the blockage. Check documentation for laterality or associated ear conditions if reported.

Do not use for

Do not use this code for nonspecific Eustachian tube dysfunction without documented extrinsic obstruction. Do not assign it when the problem is due to intrinsic tube disease or when documentation is unclear.

Coding tip

Look for the word “extrinsic” and the documented cause before assigning this code.

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