H61.23 Impacted cerumen, bilateral

ICD10CM code

#### Name of the Condition
- Impacted cerumen, bilateral

#### Summary
Impacted cerumen, commonly known as earwax buildup, occurs when cerumen (earwax) accumulates to the point of causing symptoms, affecting both ears. This can lead to blockage of the ear canal and potential hearing difficulties.

#### Causes
- Overproduction of earwax.
- Narrow or uniquely shaped ear canals.
- Repeated insertion of objects into the ears, such as cotton swabs or earplugs.

#### Risk Factors
- Use of hearing aids or earbuds.
- Older age, as earwax tends to become drier with age.
- Certain skin conditions like eczema.

#### Symptoms
- Hearing loss or diminished hearing capacity.
- Earache or feeling of fullness in the ears.
- Tinnitus (ringing in the ears).
- Dizziness or balance issues.

#### Diagnosis
- Visual inspection using an otoscope.
- Patient history and symptom discussion.

#### Treatment Options
- Manual removal by a healthcare provider.
- Ear irrigation or syringing.
- Use of ear drops to soften the earwax for natural expulsion.

#### Prognosis and Follow-Up
- Generally favorable with appropriate treatment.
- Regular monitoring might be necessary for individuals with recurring issues.

#### Complications
- If left untreated, it may lead to ear infections or severe hearing impairment.
- Possible ear canal damage from inappropriate removal methods.

#### Lifestyle & Prevention
- Avoid inserting foreign objects into the ears.
- Regular cleaning of hearing aids or earbud devices.
- Using preventive drops if recommended by a healthcare provider.

#### When to Seek Professional Help
- Sudden loss of hearing.
- Persistent ear pain or discharge.
- Any symptom suggesting ear infection or significant discomfort.

#### Additional Resources
- American Academy of Otolaryngology – Head and Neck Surgery ([entnet.org](https://www.entnet.org/)).
- National Institute on Deafness and Other Communication Disorders ([nidcd.nih.gov](https://www.nidcd.nih.gov/)).

#### Tips for Medical Coders
- Ensure bilateral impact is noted for accurate coding as **H61.23**.
- Verify the presence of symptoms and a diagnosis via otoscope examination.
- Avoid confusion with unilateral impacted cerumen codes (H61.20-H61.22).

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