Patulous Eustachian tube, bilateral
ICD-10 H69.03 is a billable code used to indicate a diagnosis of patulous eustachian tube, bilateral.
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 bilateral cases, both Eustachian tubes are affected, which can exacerbate symptoms and complicate management. The condition may arise from various factors, including weight loss, hormonal changes, or anatomical variations. Diagnosis typically involves a thorough clinical history, otoscopic examination, and possibly tympanometry or audiometry to assess middle ear function and hearing levels. Management strategies may include lifestyle modifications, nasal saline irrigation, or surgical interventions such as Eustachian tube balloon dilation in refractory cases. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed clinical notes including patient history, examination findings, and treatment plans.
Patients presenting with ear fullness, autophony, or recurrent ear infections.
Ensure clear documentation of bilateral symptoms and any diagnostic tests performed.
Audiometric evaluations and reports detailing hearing thresholds and tympanometry results.
Patients undergoing hearing assessments due to suspected Eustachian tube dysfunction.
Document any correlation between audiometric findings and Eustachian tube status.
Used in cases where conservative management fails and surgical intervention is warranted.
Document indications for surgery, pre-operative assessments, and post-operative outcomes.
Otolaryngologists should ensure comprehensive documentation of the patient's history and treatment response.
Common symptoms include a sensation of fullness in the ear, autophony, and potential hearing loss. Patients may also report discomfort during changes in altitude.
