Acute suppurative otitis media without spontaneous rupture of ear drum, left ear
ICD-10 H66.002 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, left ear.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus in the middle ear space. This condition typically arises from a preceding upper respiratory tract infection, leading to inflammation and blockage of the Eustachian tube. In cases of ASOM without spontaneous rupture of the eardrum, the tympanic membrane remains intact, which can lead to increased pressure and pain in the ear. Clinically, patients may present with ear pain, fever, irritability in children, and sometimes hearing loss. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane. Management often includes analgesics for pain relief and antibiotics to address the bacterial infection. In some cases, if symptoms persist or worsen, surgical intervention such as tympanostomy may be necessary to relieve pressure and drain fluid. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed clinical notes including history, physical examination findings, and treatment plans.
Patients presenting with ear pain, fever, and irritability, particularly in pediatric populations.
Ensure clear documentation of tympanic membrane status and any interventions performed.
Thorough history of present illness, including any prior episodes of otitis media and treatment responses.
Young children with acute onset of ear pain and fever, often following upper respiratory infections.
Document parental observations and any behavioral changes in the child.
Often performed in conjunction with otitis media evaluations.
Document the reason for cerumen removal and any findings during the procedure.
Otolaryngologists may perform this procedure during the same visit.
Common symptoms include ear pain, fever, irritability in children, and sometimes hearing loss. Otoscopic examination typically reveals a bulging and red tympanic membrane.
