Hematoma of pinna, left ear
ICD-10 H61.122 is a billable code used to indicate a diagnosis of hematoma of pinna, left ear.
A hematoma of the pinna, specifically on the left ear, is a localized collection of blood outside of blood vessels, typically resulting from trauma or injury to the ear. This condition can occur due to blunt force trauma, such as from sports injuries, falls, or accidents. Clinically, patients may present with swelling, tenderness, and discoloration of the ear, often described as a 'cauliflower ear' if left untreated. Diagnosis is primarily clinical, supported by a physical examination that reveals a fluctuant mass on the pinna. Imaging studies are rarely needed unless there is suspicion of underlying fractures or other complications. Management typically involves aspiration of the hematoma to relieve pressure and prevent complications such as infection or deformity. In some cases, surgical intervention may be necessary to ensure proper drainage and prevent recurrence. Follow-up care is essential to monitor for any signs of infection or re-accumulation of blood. Accurate coding for this condition is crucial for appropriate reimbursement and to reflect the severity of the injury in medical records.
Detailed description of the injury, treatment provided, and follow-up care.
Management of traumatic ear injuries, including hematomas and lacerations.
Ensure accurate documentation of the side affected and any associated injuries.
Immediate assessment findings, treatment provided in the emergency setting, and any referrals made.
Initial evaluation and management of ear trauma in the emergency department.
Document the mechanism of injury and any immediate interventions performed.
When a patient presents with both a hematoma and cerumen impaction.
Document the presence of both conditions and the treatment provided.
Otolaryngologists may frequently encounter this combination.
The primary cause of a hematoma of the pinna is trauma, which can occur from various activities such as contact sports, falls, or accidents.
Treatment typically involves aspiration of the hematoma to relieve pressure and prevent complications. In some cases, surgical intervention may be necessary.
