Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear
ICD-10 H66.004 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear.
Acute suppurative otitis media (ASOM) is characterized by the presence of pus in the middle ear, leading to inflammation and infection. This condition occurs without spontaneous rupture of the tympanic membrane (ear drum) and is classified as recurrent when a patient experiences multiple episodes within a specified timeframe. In this case, the focus is on the right ear. Clinically, patients may present with ear pain, fever, irritability in children, and hearing loss. Diagnosis is typically confirmed through otoscopic examination revealing a bulging, erythematous tympanic membrane. Management often includes antibiotics, analgesics, and in some cases, tympanostomy tubes for recurrent cases. The recurrent nature of the condition necessitates careful monitoring and potential referral to an otolaryngologist for further evaluation and management.
Detailed history of recurrent episodes, physical examination findings, and treatment plans.
Patients presenting with recurrent ear infections, children with frequent ASOM, and adults with persistent symptoms.
Ensure documentation reflects the recurrent nature and absence of tympanic membrane rupture to support coding.
Comprehensive history including frequency of infections, treatment responses, and any referral to specialists.
Children with recurrent ear infections requiring monitoring or surgical intervention.
Documenting parental concerns and developmental impacts of hearing loss is crucial.
Used in cases of recurrent ASOM requiring surgical intervention.
Document the frequency of infections and previous treatments.
Otolaryngologists should ensure clear documentation of the need for surgery.
Acute otitis media is a sudden onset infection characterized by pain and fever, while chronic otitis media is a long-term condition often associated with persistent fluid and hearing loss.
