Chronic atticoantral suppurative otitis media, bilateral
ICD-10 H66.23 is a billable code used to indicate a diagnosis of chronic atticoantral suppurative otitis media, bilateral.
Chronic atticoantral suppurative otitis media is a persistent inflammatory condition of the middle ear characterized by the presence of pus and the involvement of the atticoantral region, which includes the attic (the upper part of the middle ear) and the antrum (the cavity behind the eardrum). This condition is often bilateral, meaning it affects both ears, and is typically a result of recurrent acute otitis media or inadequate treatment of previous infections. Patients may present with symptoms such as ear pain, hearing loss, and discharge from the ear. The chronic nature of the condition can lead to complications such as cholesteatoma, which can further damage the ear structures and lead to more severe hearing loss. Diagnosis is usually confirmed through otoscopic examination, audiometry, and imaging studies if necessary. Management often involves medical treatment with antibiotics and possibly surgical intervention, such as tympanoplasty or mastoidectomy, to remove infected tissue and restore hearing.
Detailed history of ear infections, audiometric evaluations, and treatment plans.
Patients with recurrent ear infections, chronic ear discharge, and hearing loss.
Ensure documentation reflects the chronic nature and any surgical interventions performed.
Growth and development assessments, family history of ear infections, and vaccination status.
Children with frequent ear infections and associated developmental delays.
Documenting the impact of otitis media on hearing and speech development.
Performed for chronic suppurative otitis media to repair the tympanic membrane.
Operative report detailing the procedure and indication.
Otolaryngology specialists must document the extent of disease and any complications.
Common symptoms include persistent ear discharge, hearing loss, and ear pain. Patients may also experience a feeling of fullness in the ear.
Diagnosis is typically made through a combination of patient history, otoscopic examination, audiometric testing, and sometimes imaging studies.
Treatment may include antibiotics, ear drops, and surgical interventions such as tympanoplasty or mastoidectomy, depending on the severity and complications.
