Impacted cerumen

This code signifies the presence of a hardened mass of earwax that obstructs the external auditory canal. This impaction can lead to symptoms such as hearing loss, earache, tinnitus, or a feeling of fullness in the ear. It results from the accumulation and compaction of cerumen, preventing its natural extrusion.

Use this code when documentation clearly indicates the diagnosis of impacted cerumen, often requiring removal. This applies to patients presenting with symptoms directly attributable to the cerumen blockage or when the impaction is noted during a routine examination. Supporting documentation includes physician notes describing the presence of impacted cerumen and associated symptoms or findings.

• Do not use this code for simple cerumen that does not cause symptoms or require removal.
• Consider an external ear infection (e.g., otitis externa) if inflammation or infection is also present.
• This code is often a primary diagnosis when cerumen removal is the sole procedure performed.