Acute suppurative otitis media without spontaneous rupture of ear drum
ICD-10 H66.00 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus in the middle ear space, typically resulting from bacterial infection following a viral upper respiratory tract infection. Patients often present with ear pain, fever, irritability in children, and sometimes hearing loss. The tympanic membrane remains intact in this condition, distinguishing it from cases where spontaneous rupture occurs. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane. Management includes analgesics for pain relief and antibiotics to address the bacterial infection. In cases where symptoms persist or worsen, further intervention may be necessary. This condition is prevalent in pediatric populations but can also affect adults, particularly those with risk factors such as allergies or sinusitis. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed otoscopic findings, treatment plans, and follow-up assessments.
Management of acute ear infections in both pediatric and adult populations.
Ensure documentation reflects the absence of tympanic membrane rupture and any comorbid conditions.
Growth and development assessments, parental reports of symptoms, and treatment responses.
Frequent ear infections in children, including recurrent acute otitis media.
Documenting family history and environmental factors that may contribute to recurrent infections.
Used for follow-up visits after initial diagnosis and treatment of ASOM.
Document history of present illness, examination findings, and treatment plan.
Otolaryngologists may require more detailed documentation of ear examination.
Considered if ASOM is recurrent and persistent despite medical management.
Indication for surgery, pre-operative assessment, and post-operative care.
Ensure clear documentation of recurrent episodes leading to surgical intervention.
Common symptoms include ear pain, fever, irritability in children, and sometimes hearing loss. An otoscopic examination typically reveals a bulging, red tympanic membrane.
Treatment usually involves analgesics for pain relief and antibiotics to treat the bacterial infection. Follow-up is essential to ensure resolution of symptoms.
