Acute mastoiditis without complications, left ear
ICD-10 H70.002 is a billable code used to indicate a diagnosis of acute mastoiditis without complications, left ear.
Acute mastoiditis is an infection of the mastoid process, typically resulting from an untreated or inadequately treated acute otitis media. It is characterized by the inflammation and infection of the mastoid air cells, leading to symptoms such as ear pain, fever, and swelling behind the ear. In cases of acute mastoiditis without complications, the infection is localized and does not extend beyond the mastoid process, which differentiates it from more severe forms that may involve intracranial complications. Clinically, patients may present with tenderness over the mastoid area, otorrhea, and hearing loss. Diagnosis is primarily clinical, supported by imaging studies such as CT scans to assess the extent of the disease. Management typically involves antibiotic therapy, and in some cases, surgical intervention may be necessary to drain infected material. Prompt treatment is crucial to prevent complications, including chronic mastoiditis or hearing loss.
Detailed clinical notes on symptoms, examination findings, and treatment plans.
Patients presenting with ear pain, fever, and swelling behind the ear.
Ensure that all imaging studies and lab results are included in the documentation.
Thorough history of ear infections, including previous treatments and responses.
Children with recurrent otitis media leading to mastoiditis.
Consider age-related factors in treatment and documentation.
Used when surgical intervention is required for drainage.
Operative report detailing the procedure and findings.
Otolaryngologists must document the necessity of surgery.
Common symptoms include ear pain, fever, swelling behind the ear, and drainage from the ear canal.
Diagnosis is primarily clinical, supported by imaging studies such as CT scans to assess the extent of the infection.
Treatment typically involves antibiotics, and surgical intervention may be necessary if there is an abscess or persistent infection.
