Ménière's disease, bilateral
ICD-10 H81.03 is a billable code used to indicate a diagnosis of ménière's disease, bilateral.
Ménière's disease is a chronic inner ear disorder characterized by episodes of vertigo, tinnitus, hearing loss, and a sensation of fullness in the ear. Bilateral Ménière's disease indicates that both ears are affected. The condition is thought to be caused by an abnormal accumulation of fluid in the inner ear, which disrupts the normal functioning of the vestibular and auditory systems. Patients typically experience recurrent episodes of vertigo that can last from 20 minutes to several hours, often accompanied by fluctuating hearing loss that may become permanent over time. Tinnitus, or ringing in the ears, is also a common symptom. Diagnosis is primarily clinical, based on the patient's history and symptomatology, but may include audiometric testing and vestibular function tests. Management strategies include dietary modifications, diuretics, vestibular rehabilitation, and in some cases, surgical interventions such as endolymphatic sac decompression or vestibular nerve section. The chronic nature of the disease and its impact on quality of life necessitate a comprehensive approach to treatment and ongoing monitoring.
Detailed history of symptoms, audiometric test results, and treatment plans.
Patients presenting with recurrent vertigo, fluctuating hearing loss, and tinnitus.
Ensure clear documentation of bilateral involvement and any surgical interventions performed.
Comprehensive audiometric evaluations and patient symptom diaries.
Patients undergoing hearing assessments and vestibular testing.
Document the impact of hearing loss on daily activities and any recommendations for hearing aids or assistive devices.
Used for patients with severe bilateral Ménière's disease who do not respond to conservative management.
Operative reports detailing the procedure and indications for surgery.
Otolaryngologists should ensure that all pre-operative evaluations are documented.
Key symptoms include recurrent episodes of vertigo, fluctuating hearing loss, tinnitus, and a sensation of fullness in the ears.
Diagnosis is based on clinical history, audiometric testing, and vestibular function assessments, confirming bilateral involvement.
Management may include dietary changes, diuretics, vestibular rehabilitation, and surgical options for severe cases.
