Hematoma of pinna, bilateral
ICD-10 H61.123 is a billable code used to indicate a diagnosis of hematoma of pinna, bilateral.
A hematoma of the pinna is a localized collection of blood between the cartilage and the skin of the outer ear, often resulting from trauma. Bilateral hematomas indicate that both ears are affected. This condition is commonly seen in individuals who participate in contact sports or activities that may lead to blunt trauma to the ears. Clinically, patients may present with swelling, tenderness, and discoloration of the pinna. In severe cases, the hematoma can lead to complications such as infection or deformity of the ear if not treated promptly. Diagnosis is typically made through physical examination, and imaging may be used in complicated cases. Management often involves drainage of the hematoma to prevent complications and may include the use of compression dressings to minimize recurrence. Surgical intervention may be necessary in cases of significant deformity or recurrent hematomas. Proper coding requires careful documentation of the clinical presentation and any interventions performed.
Detailed clinical notes on the nature of the trauma, examination findings, and treatment provided.
Management of traumatic ear injuries, including hematomas and infections.
Ensure documentation reflects the bilateral nature of the condition and any surgical interventions performed.
Records of the mechanism of injury, physical examination findings, and treatment protocols.
Evaluation and treatment of ear injuries in athletes, including hematomas.
Document the context of the injury to support the diagnosis and treatment plan.
May be used if cerumen impaction is present alongside hematoma.
Document the presence of cerumen and the procedure performed.
Otolaryngologists should ensure clear documentation of both conditions.
The primary cause is trauma to the ear, often seen in contact sports or accidents.
Treatment typically involves drainage of the hematoma and application of compression to prevent recurrence.
Complications can include infection, deformity of the ear, and chronic pain.
