Impacted cerumen, left ear
ICD-10 H61.22 is a billable code used to indicate a diagnosis of impacted cerumen, left ear.
Impacted cerumen, or earwax buildup, occurs when excessive earwax accumulates in the ear canal, leading to blockage. This condition can result in symptoms such as hearing loss, earache, tinnitus, and a sensation of fullness in the ear. In some cases, it may also lead to infections or exacerbate existing ear conditions. The left ear designation is crucial for accurate coding and treatment. Diagnosis typically involves a physical examination, where a healthcare provider uses an otoscope to visualize the ear canal and assess the extent of the blockage. Management often includes cerumen removal techniques, such as irrigation, suction, or manual extraction. In some cases, patients may be advised on proper ear hygiene to prevent recurrence. While impacted cerumen is generally a benign condition, it can significantly affect quality of life and hearing if left untreated.
Detailed notes on patient history, symptoms, and treatment methods used for cerumen removal.
Patients presenting with hearing loss, ear pain, or recurrent ear infections due to cerumen impaction.
Ensure documentation specifies the laterality of the impacted cerumen and any associated conditions.
Comprehensive patient history and physical examination findings, including any prior treatments for earwax buildup.
Routine check-ups where patients report hearing difficulties or discomfort in the ear.
Document any patient education provided regarding ear hygiene and prevention of cerumen buildup.
Used when cerumen removal is performed in the office setting.
Document the method of cerumen removal and any patient symptoms.
Otolaryngologists may use more advanced techniques for cerumen removal.
Symptoms may include hearing loss, earache, tinnitus, and a feeling of fullness in the ear. If these symptoms are present, an examination by a healthcare provider is recommended.
