Acute petrositis, bilateral
ICD-10 H70.213 is a billable code used to indicate a diagnosis of acute petrositis, bilateral.
Acute petrositis is an inflammatory condition affecting the petrous part of the temporal bone, often resulting from a complication of otitis media or mastoiditis. In bilateral cases, both sides of the petrous bone are involved, leading to significant clinical manifestations. Patients typically present with severe ear pain, fever, and possibly hearing loss due to the proximity of the petrous bone to the inner ear structures. Symptoms may also include vertigo and tinnitus, reflecting vestibular involvement. Diagnosis is primarily clinical, supported by imaging studies such as CT or MRI to visualize the extent of the inflammation and rule out other conditions. Management often involves aggressive antibiotic therapy, and in some cases, surgical intervention may be necessary to drain abscesses or remove necrotic tissue. The condition can lead to serious complications, including meningitis or cranial nerve palsies, making prompt diagnosis and treatment critical.
Detailed clinical notes on symptoms, imaging results, and treatment plans.
Patients presenting with ear pain, fever, and hearing loss.
Ensure clear documentation of the bilateral nature and any surgical interventions performed.
Imaging reports must clearly indicate findings related to petrositis.
CT or MRI scans ordered for suspected petrositis.
Radiologists should note any complications or associated findings.
Often performed in conjunction with evaluation of ear pain.
Document the reason for cerumen removal and any associated symptoms.
Otolaryngologists should ensure clear linkage between cerumen removal and underlying conditions.
Common symptoms include severe ear pain, fever, hearing loss, vertigo, and tinnitus.
Diagnosis is primarily clinical, supported by imaging studies such as CT or MRI to visualize inflammation.
Treatment usually involves antibiotics, and in some cases, surgical intervention may be necessary.
