Otalgia, right ear
ICD-10 H92.01 is a billable code used to indicate a diagnosis of otalgia, right ear.
Otalgia, or ear pain, is a common symptom that can arise from various underlying conditions affecting the ear and surrounding structures. In the case of H92.01, the pain is specifically localized to the right ear. The etiology of otalgia can range from acute infections such as otitis media or otitis externa to referred pain from dental issues or temporomandibular joint disorders. Patients may present with symptoms such as sharp or dull pain, a sensation of fullness, hearing loss, or even fever if an infection is present. Diagnostic criteria typically involve a thorough history and physical examination, often supplemented by otoscopic examination to assess for signs of infection or other abnormalities. Management may include analgesics for pain relief, antibiotics for bacterial infections, or referral to an otolaryngologist for more complex cases. Understanding the underlying cause of otalgia is crucial for effective treatment and to prevent complications such as hearing loss or chronic ear disease.
Detailed history of symptoms, physical examination findings, and any diagnostic tests performed.
Patients presenting with acute ear pain, chronic ear infections, or post-operative pain following ear surgery.
Ensure documentation reflects the specific diagnosis and any relevant surgical interventions.
Comprehensive patient history, including duration and nature of pain, associated symptoms, and any prior treatments.
Patients with ear pain due to upper respiratory infections or allergies.
Document any referrals made to specialists for further evaluation.
When cerumen impaction is identified as a cause of otalgia.
Document the presence of cerumen impaction and the procedure performed.
Otolaryngologists may perform this procedure in conjunction with other evaluations.
Otalgia can be caused by various factors, including infections (otitis media, otitis externa), trauma, referred pain from dental issues, or TMJ disorders. A thorough evaluation is necessary to determine the specific cause.
Document the patient's symptoms, duration, and any associated findings from the physical examination. Clearly indicate the laterality of the pain and any treatments provided to support the diagnosis.
