ICD10
ICD-10 Code H60.4: Cholesteatoma of external ear
Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026
What is this code?
ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Diseases of the ear and mastoid process (H60-H95).
When is it used?
- May be used when a clinician documents cholesteatoma of external ear in a patient's medical record.
- May appear in hospital records, claims, referrals, and clinical documentation.
- This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.
What it does not mean
- A code alone does not explain severity, treatment plan, or outcome.
- A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
- This entry may represent a broader category rather than the most specific billable code.
Code hierarchy
chapter
8Diseases of the ear and mastoid process (H60-H95)
block
H60-H62Diseases of external ear
category
H60Otitis externa
currentH60
Official coding notes
Inclusion terms
- Keratosis obturans of external ear (canal)
Excludes2 (may code together if documented)
- cholesteatoma of middle ear (H71.-)
- recurrent cholesteatoma of postmastoidectomy cavity (H95.0-)
Where you may see this code
You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.
Related specialists
ENT Specialist
Related codes
Sibling codes
Mapped diagnoses and classifications
SNOMED_CT 1083911000119102high
Bilateral keratosis obturans of external auditory canals
Source: SNOMED International ICD-10 map
SNOMED_CT 35247001high
Cholesteatoma of external ear
Source: SNOMED International ICD-10 map
SNOMED_CT 1088831000119107high
Cholesteatoma of left external ear
Source: SNOMED International ICD-10 map
SNOMED_CT 1091441000119107high
Cholesteatoma of right external ear
Source: SNOMED International ICD-10 map
SNOMED_CT 59370009high
Keratosis obturans of external ear canal
Source: SNOMED International ICD-10 map
SNOMED_CT 1088971000119100high
Keratosis obturans of left external auditory canal
Source: SNOMED International ICD-10 map
Coding guidelines
Compatibility
Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
H60.4
Replacement codes
H60.40 — Cholesteatoma of external ear, unspecified earH60.41 — Cholesteatoma of right external earH60.42 — Cholesteatoma of left external earH60.43 — Cholesteatoma of external ear, bilateral
Common synonyms
Cholesteatoma of external ear
Frequently asked questions
About this content
This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.