Suppurative and unspecified otitis media
Chapter 8:Diseases of the ear and mastoid process
ICD-10 H66 is a billable code used to indicate a diagnosis of suppurative and unspecified otitis media.
Suppurative otitis media is characterized by the presence of pus in the middle ear, often resulting from bacterial infections. It is a common condition in children but can also affect adults. Symptoms typically include ear pain, fever, irritability in children, and hearing loss. The condition may arise following upper respiratory infections, allergies, or sinusitis. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, red tympanic membrane, and possibly purulent drainage. Management often involves antibiotics, analgesics, and in some cases, surgical intervention such as tympanostomy tubes to facilitate drainage and prevent recurrence. Chronic cases may lead to complications like hearing loss or mastoiditis, necessitating careful monitoring and follow-up. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed history of ear symptoms, physical examination findings, and treatment plans.
Management of recurrent otitis media, surgical interventions like tympanostomy.
Ensure documentation reflects the severity and duration of symptoms for accurate coding.
Growth and development assessments, vaccination history, and family history of ear infections.
Evaluation of ear pain in children, management of acute otitis media.
Documenting parental concerns and child’s response to treatment is crucial.
Used for chronic otitis media with effusion.
Document the indication for surgery and prior treatment attempts.
Otolaryngologists must ensure all conservative measures were attempted before surgery.
Acute suppurative otitis media is characterized by sudden onset of symptoms and typically resolves with treatment, while chronic suppurative otitis media persists for longer periods and may require surgical intervention.
