Cerumen Impaction ICD-10-CM Codes

Cerumen Impaction ICD-10-CM Codes

A definitive guide to ICD-10-CM codes related to diagnosing and documenting cerumen (earwax) impaction in 2023.

By Priya Singh on Jul 16, 2025.

Fact Checked by Ericka Pingol.

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What ICD-10 Codes are Used for Cerumen Impaction?

Cerumen, commonly known as earwax, can sometimes build up and become impacted, leading to hearing loss, tinnitus, or ear discomfort. Properly documenting this condition with ICD-10-CM codes ensures accurate diagnosis and treatment.

Here are some commonly used ICD-10-CM codes for cerumen impaction:

  • H61.20: Impacted cerumen, unspecified ear - This code indicates a diagnosis of earwax impaction but does not specify which ear is affected.
  • H61.21: Impacted cerumen, right ear - Diagnosis of earwax impaction in the right ear.
  • H61.22: Impacted cerumen, left ear - Diagnosis of earwax impaction in the left ear.
  • H61.23: Impacted cerumen, bilateral - This code is used when both ears have earwax impaction.

Which Cerumen Impaction ICD Codes are Billable:

  • H61.20: Yes
  • H61.21: Yes
  • H61.22: Yes
  • H61.23: Yes

Clinical Information

  • Cerumen impaction is one of the most common ear-related problems that healthcare providers treat.
  • It occurs when earwax accumulates in the ear canal and becomes too hard or dense to wash away naturally.
  • Common causes include age-related earwax consistency changes, hearing aids or earplugs, and the frequent use of cotton swabs, which can push wax deeper into the ear canal.
  • Symptoms include reduced hearing, ear discomfort, tinnitus, dizziness, or earache.
  • Treatment typically involves softening the earwax with drops and removing the impacted cerumen by irrigation, suction, or manual extraction.

Synonyms Include

  • Earwax blockage
  • Earwax buildup
  • Wax impaction in the ear
  • Occluded ear canal due to cerumen
  • Earwax obstruction
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