Suppurative otitis media, unspecified, bilateral
ICD-10 H66.43 is a billable code used to indicate a diagnosis of suppurative otitis media, unspecified, bilateral.
Suppurative otitis media is an inflammatory condition of the middle ear characterized by the presence of pus. This condition can occur in one or both ears and is often a result of bacterial or viral infections following upper respiratory tract infections. Clinical presentation typically includes ear pain, fever, irritability in children, and possible hearing loss. In bilateral cases, symptoms may be more pronounced due to the involvement of both ears. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane with possible purulent drainage. Management may include analgesics for pain relief, antibiotics for bacterial infections, and in some cases, surgical intervention such as tympanostomy tubes for recurrent cases. Accurate coding is essential for proper treatment reimbursement and tracking of disease prevalence.
Detailed clinical notes including history, physical examination findings, and treatment plans.
Management of acute otitis media in pediatric patients, chronic cases requiring surgical intervention.
Documentation must clearly indicate the presence of bilateral symptoms and any prior treatments.
Thorough history of recurrent ear infections, family history, and developmental milestones.
Evaluation of children with recurrent ear infections and associated hearing loss.
Consideration of age-related factors in treatment decisions and documentation of parental concerns.
Used for patients with recurrent otitis media requiring drainage.
Document the need for surgical intervention and prior treatments.
Otolaryngologists must provide clear justification for surgery.
Common symptoms include ear pain, fever, irritability in children, and possible hearing loss. Otoscopic examination typically reveals a bulging, red tympanic membrane with purulent discharge.
