Chronic tubotympanic suppurative otitis media, bilateral
ICD-10 H66.13 is a billable code used to indicate a diagnosis of chronic tubotympanic suppurative otitis media, bilateral.
Chronic tubotympanic suppurative otitis media is a persistent inflammatory condition of the middle ear characterized by the presence of pus and a perforated tympanic membrane. This condition often arises from recurrent acute otitis media or Eustachian tube dysfunction, leading to chronic inflammation and infection. In bilateral cases, both ears are affected, which can complicate the clinical picture and management. Patients may present with symptoms such as ear pain, hearing loss, and discharge from the ear. The condition can lead to complications such as hearing impairment and, in severe cases, mastoiditis. Diagnosis typically involves otoscopic examination, audiometric testing, and sometimes imaging studies to assess the extent of the disease. Management may include medical therapy with antibiotics and steroids, as well as surgical interventions like tympanostomy tube placement or tympanoplasty to restore hearing and prevent further complications.
Detailed clinical notes including history, physical examination findings, and treatment plans.
Patients presenting with recurrent ear infections, chronic ear discharge, or hearing loss.
Ensure clear documentation of the duration of symptoms and any prior treatments to support chronicity.
Comprehensive records of developmental milestones and history of ear infections.
Children with recurrent otitis media requiring evaluation for potential surgical intervention.
Consideration of age-related factors in treatment and management plans.
Used for patients with chronic otitis media requiring drainage.
Operative report detailing the procedure and indication.
Otolaryngologists must document the chronic nature of the condition to justify the procedure.
Chronic tubotympanic suppurative otitis media is characterized by persistent symptoms lasting more than three months, often with a perforated tympanic membrane and ongoing discharge, whereas acute otitis media typically presents with sudden onset symptoms and is usually self-limiting.
