Postauricular fistula, bilateral
ICD-10 H70.813 is a billable code used to indicate a diagnosis of postauricular fistula, bilateral.
Postauricular fistula is a congenital anomaly characterized by the presence of abnormal connections or openings in the skin behind the ear. When bilateral, it indicates that both ears are affected. These fistulas can vary in size and may lead to complications such as recurrent infections or drainage of fluid. Clinically, patients may present with visible openings, discharge, or inflammation in the postauricular area. Diagnosis typically involves a thorough physical examination and may be supplemented by imaging studies to assess the extent of the fistula and any associated anomalies. Management often requires surgical intervention to excise the fistula and prevent recurrence, especially if there are recurrent infections or cosmetic concerns. The condition is often associated with other ear-related issues, such as otitis media or hearing loss, necessitating a multidisciplinary approach for comprehensive care.
Detailed descriptions of the fistula, associated symptoms, and surgical interventions performed.
Patients presenting with recurrent ear infections, drainage from the postauricular area, or cosmetic concerns.
Ensure accurate documentation of the bilateral nature and any associated conditions to support coding.
Growth and developmental assessments, family history of ear conditions, and any associated congenital anomalies.
Children with congenital ear anomalies presenting for evaluation or surgical correction.
Document any developmental delays or hearing assessments to support comprehensive care.
Used when surgical intervention is performed to excise the fistula.
Operative report detailing the procedure and findings.
Otolaryngology specialists should ensure complete documentation of the surgical approach and any complications.
Common symptoms include visible openings behind both ears, drainage, inflammation, and recurrent infections.
Diagnosis is primarily through physical examination, with imaging studies used to assess the extent of the fistula and any associated anomalies.
Management often involves surgical excision of the fistula, especially if recurrent infections or cosmetic concerns arise.
