Patulous Eustachian tube, right ear
ICD-10 H69.01 is a billable code used to indicate a diagnosis of patulous eustachian tube, right ear.
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 loudly), and potential hearing loss. In the right ear, these symptoms may be exacerbated by factors such as weight loss, dehydration, or hormonal changes. Clinically, patients may present with complaints of ear fullness, fluctuating hearing, and discomfort during activities that alter pressure, such as flying or diving. Diagnosis typically involves a thorough history and physical examination, often supplemented by audiometric testing and tympanometry to assess middle ear function. Management may include conservative measures such as nasal decongestants, hydration, and in some cases, surgical interventions like Eustachian tube dilation or tympanostomy tubes if conservative measures fail. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed history of symptoms, audiometric results, and treatment plans.
Patients presenting with ear fullness, autophony, or hearing loss.
Ensure documentation reflects the specific nature of the Eustachian tube dysfunction and any interventions performed.
Audiometric evaluations and interpretations, patient history regarding hearing changes.
Patients undergoing hearing assessments due to suspected Eustachian tube dysfunction.
Document any correlation between audiometric findings and patient-reported symptoms.
Used in cases where Eustachian tube dysfunction leads to recurrent otitis media.
Document indications for surgery and previous treatment attempts.
Otolaryngologists should ensure that the surgical necessity is well-documented.
Common symptoms include ear fullness, autophony, and fluctuating hearing loss, particularly during pressure changes.