Acute suppurative otitis media
ICD-10 H66.0 is a billable code used to indicate a diagnosis of acute suppurative otitis media.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus in the middle ear space. It typically occurs following an upper respiratory tract infection, leading to inflammation and blockage of the Eustachian tube, which can result in fluid accumulation and bacterial growth. Patients often present with ear pain, fever, irritability in children, and sometimes hearing loss. Physical examination may reveal a bulging, erythematous tympanic membrane, and otorrhea may be present if the tympanic membrane has perforated. Diagnosis is primarily clinical, supported by otoscopic findings. Management includes analgesics for pain relief, antibiotics for bacterial infections, and in some cases, tympanostomy tubes may be indicated for recurrent cases. The condition is more prevalent in children due to their anatomical differences in the Eustachian tube. Complications can include hearing loss, mastoiditis, and in rare cases, intracranial infections.
Detailed clinical notes including history, physical examination findings, and treatment plan.
Management of acute otitis media in pediatric patients, surgical interventions for recurrent cases.
Ensure documentation reflects the severity of the condition and any surgical interventions performed.
Thorough history of recurrent ear infections, family history, and response to previous treatments.
Evaluation of children with recurrent acute otitis media and consideration for tympanostomy tube placement.
Documenting developmental milestones and any impact on hearing or speech development.
Performed for recurrent acute otitis media in children.
Document the number of episodes and prior treatments.
Otolaryngologists should ensure clear documentation of the need for surgical intervention.
Common symptoms include ear pain, fever, irritability in children, and sometimes drainage from the ear if the tympanic membrane has perforated.
Diagnosis is primarily clinical, based on history and physical examination, particularly otoscopic findings of a bulging or perforated tympanic membrane.
Treatment usually involves analgesics for pain relief and antibiotics for bacterial infections. Surgical intervention may be necessary for recurrent cases.
