Chronic atticoantral suppurative otitis media, left ear
ICD-10 H66.22 is a billable code used to indicate a diagnosis of chronic atticoantral suppurative otitis media, left 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 complication of eustachian tube dysfunction. Patients typically present with symptoms such as ear pain, hearing loss, and discharge from the ear, which may be foul-smelling due to the presence of bacteria. The left ear is specifically affected in this code, indicating the need for targeted treatment. Diagnosis is confirmed through clinical examination, audiometric testing, and imaging studies such as CT scans to assess for any complications involving the mastoid process. Management may include antibiotic therapy, surgical interventions such as tympanoplasty or mastoidectomy, and regular follow-up to monitor for recurrence. The chronic nature of this condition necessitates careful documentation and coding to ensure appropriate reimbursement and treatment planning.
Detailed clinical notes including history, physical examination findings, and treatment plans.
Patients presenting with recurrent ear infections, persistent ear discharge, or hearing loss.
Ensure documentation reflects the chronic nature and any surgical interventions performed.
Audiometric evaluations and reports detailing hearing loss severity and type.
Assessment of hearing loss in patients with chronic otitis media.
Document the impact of otitis media on hearing and any recommendations for hearing aids or further interventions.
Performed to repair the tympanic membrane in patients with chronic otitis media.
Operative reports detailing the procedure and indications.
Otolaryngologists should document the extent of disease and any complications.
Common symptoms include persistent ear discharge, hearing loss, ear pain, and sometimes fever. The discharge may be foul-smelling due to bacterial infection.