Patulous Eustachian tube
ICD-10 H69.0 is a billable code used to indicate a diagnosis of patulous eustachian tube.
Patulous Eustachian tube (PET) is a condition characterized by an abnormally open Eustachian tube, which connects the middle ear to the nasopharynx. This condition can lead to various auditory symptoms, including a sensation of fullness in the ear, autophony (hearing one's own voice amplified), and potential hearing loss. Patients may also experience discomfort due to pressure changes, particularly during activities such as swallowing or yawning. The condition is often associated with weight loss, dehydration, or hormonal changes, which can affect the mucosal lining of the Eustachian tube. Diagnosis typically involves a thorough clinical history and physical examination, often supplemented by audiometric testing and tympanometry to assess middle ear function. Management may include conservative measures such as nasal saline sprays, hydration, and in some cases, surgical interventions like Eustachian tube balloon dilation. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed patient history, audiometric results, and treatment plans.
Patients presenting with autophony, ear fullness, or hearing loss.
Ensure documentation reflects the specific symptoms and any interventions performed.
Comprehensive history and physical examination findings.
Patients with complaints of ear discomfort or hearing changes.
Document any referrals to specialists and follow-up care.
Used for patients with persistent symptoms despite conservative management.
Document indication for procedure and prior treatments attempted.
Otolaryngologists should ensure thorough pre-operative assessments.
Common symptoms include autophony, ear fullness, and hearing loss, particularly during changes in altitude or pressure.