Chronic atticoantral suppurative otitis media, right ear
ICD-10 H66.21 is a billable code used to indicate a diagnosis of chronic atticoantral suppurative otitis media, right ear.
Chronic atticoantral suppurative otitis media is a persistent infection of the middle ear characterized by the presence of pus and inflammation, specifically affecting the atticoantral region of the ear. This condition often arises from recurrent acute otitis media or can develop as a result of eustachian tube dysfunction, leading to the accumulation of fluid and bacteria in the middle ear space. Patients typically present with symptoms such as ear pain, hearing loss, and discharge from the ear. The right ear designation indicates the affected side, which is crucial for accurate diagnosis and treatment. Chronic suppurative otitis media can lead to complications such as mastoiditis, cholesteatoma, and hearing impairment if left untreated. Diagnosis is confirmed through clinical evaluation, otoscopic examination, and audiometric testing. Management often involves antibiotic therapy, surgical intervention such as tympanoplasty or mastoidectomy, and regular follow-up to monitor for recurrence.
Detailed history of ear infections, audiometric results, and treatment plans.
Patients with recurrent ear infections, chronic ear discharge, or hearing loss.
Ensure documentation reflects the chronic nature and any surgical interventions performed.
Growth and development assessments, family history of ear infections.
Children with frequent ear infections or persistent otorrhea.
Consider age-related factors in treatment and documentation.
Performed for chronic otitis media with tympanic membrane perforation.
Operative report detailing the procedure and indication.
Otolaryngologists should ensure all pre-operative evaluations are documented.
Acute otitis media is a sudden onset infection characterized by rapid symptoms, while chronic otitis media persists for an extended period, often with recurrent infections and ongoing symptoms.