Acquired stenosis of right external ear canal secondary to inflammation and infection
ICD-10 H61.321 is a billable code used to indicate a diagnosis of acquired stenosis of right external ear canal secondary to inflammation and infection.
Acquired stenosis of the right external ear canal is a condition characterized by the narrowing of the ear canal due to inflammation and infection. This condition often arises from chronic otitis externa, which can be caused by bacterial or fungal infections, allergic reactions, or prolonged exposure to moisture. Patients may present with symptoms such as ear pain, discharge, hearing loss, and a sensation of fullness in the ear. Diagnosis typically involves a thorough clinical examination, including otoscopy, to assess the ear canal's condition and identify any underlying infections or inflammatory processes. Management may include the use of topical antibiotics or antifungals, corticosteroids to reduce inflammation, and in some cases, surgical intervention to relieve the stenosis. The condition can lead to complications such as recurrent infections and hearing impairment if not adequately addressed.
Detailed clinical notes on the patient's history, examination findings, and treatment plan.
Patients presenting with chronic ear infections, pain, or hearing loss requiring intervention.
Ensure clear documentation of the etiology of stenosis and any prior treatments.
Comprehensive history and physical examination notes, including any referrals to specialists.
Initial evaluation of ear pain or discharge leading to a referral for further management.
Document any conservative management strategies attempted before referral.
Often performed in conjunction with treatment for stenosis.
Document the reason for cerumen removal and any associated conditions.
Otolaryngologists may perform this procedure during an office visit.
The primary cause is often chronic inflammation due to infections, allergic reactions, or trauma, leading to tissue edema and scarring.
