Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral
ICD-10 H66.003 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, bilateral.
Acute suppurative otitis media (ASOM) is characterized by the presence of pus in the middle ear, leading to inflammation and infection. This condition occurs bilaterally when both ears are affected, and it is typically caused by bacterial infections following upper respiratory tract infections. Patients may present with symptoms such as ear pain, fever, irritability in children, and hearing loss. The absence of spontaneous rupture of the eardrum indicates that the tympanic membrane remains intact, which can lead to increased pressure and discomfort. 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 appropriate treatment and reimbursement.
Detailed clinical notes including otoscopic findings, treatment plans, and follow-up care.
Management of recurrent otitis media, post-operative care after tympanostomy, and evaluation of hearing loss.
Ensure clear documentation of the absence of tympanic membrane rupture and bilateral involvement.
Thorough history of presenting illness, family history, and developmental milestones.
Acute ear infections in children, management of fever and irritability, and monitoring for complications.
Documenting parental concerns and the child's response to treatment is crucial for accurate coding.
Used when surgical intervention is required for persistent ASOM.
Surgical notes detailing the procedure and indication for surgery.
Otolaryngologists should ensure clear documentation of the need for surgery.
Common symptoms include ear pain, fever, irritability in children, and sometimes hearing loss. Otoscopic examination typically reveals a bulging and red tympanic membrane.
