Chronic petrositis, right ear
ICD-10 H70.221 is a billable code used to indicate a diagnosis of chronic petrositis, right ear.
Chronic petrositis is an inflammatory condition affecting the petrous part of the temporal bone, often resulting from recurrent otitis media or chronic ear infections. This condition is characterized by persistent inflammation and can lead to complications such as hearing loss, vestibular dysfunction, and even intracranial infections if left untreated. Patients typically present with symptoms such as ear pain, hearing impairment, and possibly vertigo. Diagnosis is primarily clinical, supported by imaging studies like CT or MRI to assess the extent of the disease and rule out other conditions. Management may involve antibiotics, surgical intervention such as tympanostomy or mastoidectomy, and close monitoring of hearing and balance functions. Chronic petrositis can significantly impact a patient's quality of life, necessitating a comprehensive approach to treatment and follow-up.
Thorough history of ear infections, audiometric evaluations, and imaging results.
Patients with recurrent ear infections leading to chronic petrositis, presenting with hearing loss and vertigo.
Ensure clear documentation of the duration and severity of symptoms to support chronic diagnosis.
Detailed imaging reports indicating the extent of petrositis and any associated complications.
CT or MRI scans performed to evaluate chronic ear disease.
Radiologists should provide clear descriptions of findings related to the petrous bone.
Performed in patients with chronic otitis media leading to petrositis.
Document indication for surgery and pre-operative evaluations.
Otolaryngologists should ensure clear linkage between the diagnosis and the procedure.
Common symptoms include persistent ear pain, hearing loss, tinnitus, and vertigo. Patients may also experience drainage from the ear if there is associated infection.
