Chronic mastoiditis, bilateral
ICD-10 H70.13 is a billable code used to indicate a diagnosis of chronic mastoiditis, bilateral.
Chronic mastoiditis is a persistent inflammatory condition of the mastoid air cells, typically resulting from untreated or inadequately treated acute otitis media or chronic otitis media. In bilateral cases, both mastoids are affected, leading to potential complications such as hearing loss, vestibular dysfunction, and the risk of intracranial infections. Patients may present with symptoms including persistent ear pain, drainage from the ear, hearing loss, and sometimes fever. Diagnosis is primarily clinical, supported by imaging studies such as CT scans that reveal mastoid air cell opacification. Management often involves antibiotic therapy, and in cases where medical treatment fails, surgical intervention such as mastoidectomy may be necessary to remove infected tissue and restore normal ear function. Chronic mastoiditis can significantly impact a patient's quality of life, necessitating careful monitoring and management to prevent complications.
Detailed history of ear infections, imaging results, and treatment plans.
Patients with recurrent ear infections leading to chronic mastoiditis.
Ensure documentation reflects the chronic nature and bilateral involvement for accurate coding.
Comprehensive patient history, symptom tracking, and referrals to specialists.
Initial diagnosis and management of ear infections that may progress to mastoiditis.
Documenting referrals and follow-up care is crucial for continuity of care and accurate coding.
Performed when chronic mastoiditis does not respond to medical treatment.
Operative report detailing the procedure and findings.
Otolaryngologists must document the extent of disease and rationale for surgery.
Common symptoms include persistent ear pain, drainage from the ear, hearing loss, and sometimes fever. Patients may also experience dizziness or balance issues.
