Impacted cerumen
ICD-10 H61.2 is a billable code used to indicate a diagnosis of impacted cerumen.
Impacted cerumen, commonly known as earwax buildup, occurs when cerumen accumulates in the ear canal to the point that it obstructs the passage of sound and can lead to various symptoms. This condition is prevalent among individuals of all ages, but it is particularly common in older adults and those with certain anatomical variations of the ear canal. Clinical presentation may include hearing loss, ear fullness, tinnitus, and sometimes pain or discomfort. In severe cases, impacted cerumen can lead to otitis externa or even temporary conductive hearing loss. Diagnosis typically involves a physical examination using an otoscope to visualize the ear canal and assess the extent of the blockage. Management often includes cerumen removal through irrigation, suction, or manual extraction by a healthcare professional. In some cases, patients may be advised to use over-the-counter ear drops to soften the wax prior to removal. It is essential for healthcare providers to differentiate impacted cerumen from other ear conditions, such as otitis media or foreign body obstruction, to ensure appropriate treatment.
Detailed notes on the patient's symptoms, examination findings, and treatment plan.
Patients presenting with hearing loss, ear pain, or discomfort due to cerumen impaction.
Ensure documentation reflects the method of cerumen removal and any associated procedures performed.
Comprehensive history and physical examination notes, including patient-reported symptoms.
Routine check-ups where cerumen impaction is discovered incidentally.
Document any patient education provided regarding ear care and cerumen management.
Used when a healthcare provider performs cerumen removal due to blockage.
Document the method of removal and any patient symptoms.
Otolaryngologists may perform this procedure more frequently than primary care providers.
Common symptoms include hearing loss, ear fullness, tinnitus, and sometimes pain or discomfort in the ear.
Diagnosis is typically made through a physical examination using an otoscope to visualize the ear canal and assess the extent of the blockage.
Treatment options include cerumen removal through irrigation, suction, or manual extraction, as well as the use of over-the-counter ear drops to soften the wax.
