Acute suppurative otitis media without spontaneous rupture of ear drum, right ear
ICD-10 H66.001 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, right ear.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus in the middle ear space, leading to inflammation and pain. This condition typically arises from a preceding upper respiratory tract infection, which causes Eustachian tube dysfunction, allowing pathogens to invade the middle ear. Clinically, patients present with ear pain, fever, irritability in children, and sometimes hearing loss. In cases where there is no spontaneous rupture of the tympanic membrane, the infection can lead to increased pressure and potential complications if left untreated. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane. Management includes analgesics for pain relief, antibiotics for bacterial infections, and close monitoring. Surgical intervention, such as tympanostomy, may be necessary if the condition persists or complications arise. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed clinical notes including otoscopic findings, treatment plans, and follow-up care.
Patients presenting with ear pain, fever, and irritability, especially in pediatric populations.
Ensure clear documentation of the absence of tympanic membrane rupture and any treatment provided.
Thorough history and physical examination notes, including developmental milestones and family history.
Young children with recurrent ear infections and associated symptoms.
Documenting parental concerns and the impact of symptoms on the child's behavior and activities.
Often performed in conjunction with otitis media treatment when cerumen impaction is suspected.
Document the presence of cerumen and the procedure performed.
Otolaryngologists may frequently perform this procedure alongside otitis media management.
Common symptoms include ear pain, fever, irritability in children, and sometimes hearing loss. Otoscopic examination typically reveals a bulging, red tympanic membrane.
Treatment usually involves analgesics for pain relief and antibiotics for bacterial infections. Surgical intervention may be necessary for recurrent cases.
