Acute mastoiditis without complications, unspecified ear
ICD-10 H70.009 is a billable code used to indicate a diagnosis of acute mastoiditis without complications, unspecified ear.
Acute mastoiditis is an infection of the mastoid process, typically resulting from an untreated or inadequately treated middle ear infection (otitis media). This condition is characterized by the inflammation and infection of the mastoid air cells, which can lead to significant complications if not addressed promptly. Patients often present with symptoms such as ear pain, fever, and swelling behind the ear. In some cases, there may be drainage from the ear, but in this specific code, it is noted as 'without complications,' indicating that there are no severe manifestations such as abscess formation or intracranial complications. Diagnosis is primarily clinical, supported by imaging studies like CT scans to assess the extent of the infection. Management typically involves antibiotics, and in some cases, surgical intervention may be necessary to drain infected material or to remove necrotic tissue. The absence of complications makes this code particularly relevant for cases that are managed conservatively or with minimal intervention.
Detailed clinical notes on symptoms, examination findings, and treatment plans.
Patients presenting with ear pain, fever, and swelling behind the ear.
Ensure clear documentation of the absence of complications to justify the use of H70.009.
Thorough history and physical examination, including family history of ear infections.
Children with recurrent otitis media leading to acute mastoiditis.
Consider age-related factors in presentation and treatment.
Often performed in conjunction with treatment for acute mastoiditis to alleviate pressure.
Document the indication for the procedure and any findings during surgery.
Otolaryngologists should ensure that the procedure is justified based on the clinical scenario.
Common symptoms include ear pain, fever, swelling behind the ear, and sometimes drainage from the ear. Patients may also experience hearing loss.
