Acute suppurative otitis media with spontaneous rupture of ear drum
ICD-10 H66.01 is a billable code used to indicate a diagnosis of acute suppurative otitis media with spontaneous rupture of ear drum.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus and inflammation. This condition often arises from upper respiratory infections, leading to blockage of the Eustachian tube and subsequent fluid accumulation in the middle ear. Symptoms typically include ear pain, fever, irritability in children, and hearing loss. In cases where the pressure from the accumulated pus becomes too great, the tympanic membrane (ear drum) may spontaneously rupture, resulting in drainage of purulent material from the ear. This rupture can provide symptomatic relief but may also lead to complications such as hearing loss or further infections. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, red, or perforated tympanic membrane. Management includes analgesics for pain relief, antibiotics for bacterial infections, and in some cases, surgical intervention such as tympanostomy tubes may be indicated for recurrent cases. Accurate coding of this condition is essential for appropriate treatment and reimbursement.
Detailed notes on the patient's history, physical examination findings, and treatment plan.
Management of acute ear infections, evaluation of recurrent otitis media, and surgical interventions.
Ensure clear documentation of the tympanic membrane status and any interventions performed.
Thorough documentation of symptoms, family history, and any previous episodes of otitis media.
Diagnosis and management of ear infections in children, including antibiotic stewardship.
Consideration of age-related factors in treatment and follow-up.
Used in cases of recurrent acute otitis media requiring surgical intervention.
Document the indication for surgery and any pre-operative assessments.
Otolaryngologists should ensure that all surgical indications are clearly documented.
Common symptoms include ear pain, fever, irritability in children, and hearing loss. In some cases, there may be drainage from the ear if the tympanic membrane ruptures.
