Otitis media, unspecified, left ear
ICD-10 H66.92 is a billable code used to indicate a diagnosis of otitis media, unspecified, left ear.
Otitis media is an inflammatory condition of the middle ear, which can be acute or chronic. The unspecified designation indicates that the specific type of otitis media (e.g., serous, purulent) has not been determined. In the case of H66.92, the condition is localized to the left ear. Clinically, patients may present with symptoms such as ear pain, fever, irritability in children, and hearing loss. Diagnosis typically involves a physical examination, where a healthcare provider may observe fluid in the middle ear using an otoscope. Additional diagnostic criteria may include tympanometry or audiometry to assess hearing function. Management often includes observation, analgesics for pain relief, and antibiotics if a bacterial infection is suspected. In some cases, surgical interventions such as tympanostomy tubes may be necessary for recurrent cases. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed history of present illness, physical examination findings, and treatment plan.
Management of recurrent otitis media in pediatric patients, evaluation of hearing loss associated with otitis.
Ensure documentation reflects the severity and duration of symptoms for accurate coding.
Growth and development assessments, vaccination history, and family history of ear infections.
Frequent ear infections in children, management of associated symptoms like fever.
Documenting parental concerns and the impact on the child's quality of life can support the necessity for treatment.
Often performed in conjunction with otitis media diagnosis when cerumen impaction is suspected.
Document the reason for cerumen removal and any associated symptoms.
Otolaryngologists may perform this procedure more frequently in patients with recurrent ear infections.
H66.92 refers to unspecified otitis media in the left ear, while H66.91 specifies the condition in the right ear. Accurate coding requires attention to the laterality of the condition.
