Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear
ICD-10 H66.005 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus in the middle ear space. This condition is particularly common in children but can occur in adults as well. The recurrent nature of this diagnosis indicates that the patient has experienced multiple episodes of ASOM, which can lead to complications if not managed appropriately. In cases where there is no spontaneous rupture of the eardrum, the infection may cause significant pain and pressure in the ear, along with potential hearing loss. Symptoms typically include ear pain, fever, irritability in children, and sometimes drainage from the ear if the eardrum is perforated. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane. Management often involves antibiotics, analgesics, and in some cases, surgical intervention such as tympanostomy tubes to prevent further episodes. The left ear designation is crucial for accurate coding and treatment planning.
Detailed history of recurrent episodes, treatment plans, and outcomes.
Management of recurrent ASOM, surgical interventions like tympanostomy.
Ensure clear documentation of the absence of eardrum rupture and specify the ear affected.
Growth and development assessments, family history of ear infections.
Routine follow-ups for children with recurrent ear infections.
Document parental concerns and any previous treatments or interventions.
Used when recurrent ASOM necessitates surgical intervention.
Document the recurrent nature of infections and previous treatments.
Otolaryngologists must provide detailed operative reports.
Acute otitis media is characterized by sudden onset and is often associated with infection, while chronic otitis media is a long-standing condition that may involve persistent fluid in the middle ear without acute infection.