Other acute nonsuppurative otitis media
ICD-10 H65.1 is a billable code used to indicate a diagnosis of other acute nonsuppurative otitis media.
Other acute nonsuppurative otitis media (H65.1) refers to a type of middle ear inflammation that is characterized by the absence of pus and is not caused by a bacterial infection. This condition can arise from various factors, including viral infections, allergies, or eustachian tube dysfunction. Clinically, patients may present with symptoms such as ear pain, hearing loss, and a sensation of fullness in the ear. Diagnosis typically involves a thorough history and physical examination, often supplemented by otoscopic examination to assess the tympanic membrane's appearance. Management may include symptomatic relief with analgesics, decongestants, or antihistamines, and in some cases, observation may be warranted. Unlike suppurative otitis media, which may require antibiotics, nonsuppurative cases often resolve spontaneously. Accurate coding is essential for appropriate treatment and reimbursement, as well as for tracking epidemiological trends in ear diseases.
Detailed history of symptoms, physical examination findings, and treatment plan.
Patients presenting with ear pain, hearing loss, or fullness without signs of infection.
Ensure documentation specifies the type of otitis media and any relevant history of allergies or upper respiratory infections.
Complete developmental history, vaccination status, and family history of ear infections.
Children with recurrent ear infections or presenting with acute ear pain.
Consider age-related factors in diagnosis and management, as children are more prone to otitis media.
When cerumen impaction is suspected as a contributing factor to ear pain.
Document the presence of cerumen and the procedure performed.
Otolaryngologists should ensure clear documentation of the procedure and its necessity.
Common symptoms include ear pain, hearing loss, and a sensation of fullness in the ear, often following a viral upper respiratory infection.
Diagnosis is made through clinical evaluation, including a detailed history and physical examination, particularly otoscopic examination to assess the tympanic membrane.
Treatment typically focuses on symptom relief with analgesics and decongestants, as the condition often resolves spontaneously without antibiotics.
