Unspecified mastoiditis, unspecified ear
ICD-10 H70.90 is a billable code used to indicate a diagnosis of unspecified mastoiditis, unspecified ear.
Unspecified mastoiditis refers to an inflammatory condition affecting the mastoid process, which is the bony prominence located behind the ear. This condition often arises as a complication of acute otitis media, where infection spreads from the middle ear to the mastoid air cells. Clinical presentation may include ear pain, fever, and swelling behind the ear. Patients may also experience hearing loss due to fluid accumulation or structural changes in the ear. Diagnosis typically involves a thorough clinical examination, imaging studies such as CT scans, and possibly tympanocentesis to assess for infection. Management may include antibiotics, and in severe cases, surgical intervention such as mastoidectomy may be necessary to drain infected material and prevent further complications. The unspecified nature of this code indicates that the specific details of the mastoiditis are not documented, which can complicate treatment and management decisions.
Detailed clinical notes including symptoms, examination findings, and imaging results.
Patients presenting with ear pain, fever, and swelling behind the ear.
Ensure clear documentation of the relationship between otitis media and mastoiditis.
Thorough history and physical examination, including developmental milestones and previous ear infections.
Children with recurrent ear infections leading to mastoiditis.
Consider age-related factors in treatment and management.
Used in conjunction with treatment for recurrent otitis media leading to mastoiditis.
Document indication for tympanostomy and any prior treatments.
Otolaryngologists should ensure clear documentation of the need for surgical intervention.
Common symptoms include ear pain, fever, swelling behind the ear, and hearing loss. Patients may also experience drainage from the ear.
Use H70.90 when the documentation does not specify the type of mastoiditis or when the clinical details are insufficient to assign a more specific code.