{"code":"H61.191","type":"code","title":"Noninfective disorders of pinna, right ear","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["cauliflower ear (M95.1-)","gouty tophi of ear (M1A.-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Noninfective disorders of pinna, right ear is a billable ICD-10-CM diagnosis code (H61.191). Excludes2 (not included here): cauliflower ear (M95.1-); gouty tophi of ear (M1A.-).","officialDefinition":"Noninfective disorders of pinna, right ear is a billable ICD-10-CM diagnosis code (H61.191). Excludes2 (not included here): cauliflower ear (M95.1-); gouty tophi of ear (M1A.-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"cauliflower ear (M95.1-)":"H61.1","gouty tophi of ear (M1A.-)":"H61.1"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}