Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear
ICD-10 H66.007 is a billable code used to indicate a diagnosis of acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified 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 is recurrent when a patient experiences multiple episodes within a specified timeframe, typically defined as three or more episodes in six months or four episodes in one year. In cases where there is no spontaneous rupture of the tympanic membrane (ear drum), the infection can lead to increased pressure and pain without drainage of pus. Symptoms may include ear pain, fever, irritability in children, and hearing loss. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, erythematous tympanic membrane. Management often involves antibiotics, analgesics, and in some cases, tympanostomy tubes for recurrent cases. Accurate coding is essential for proper treatment and reimbursement, as it reflects the severity and frequency of the condition.
Detailed history of ear infections, physical examination findings, and treatment plans.
Patients presenting with recurrent ear infections, children with persistent otalgia, and adults with hearing loss due to ASOM.
Ensure clear documentation of the absence of tympanic membrane rupture and recurrent nature of the condition.
Growth and development assessments, vaccination history, and family history of ear infections.
Infants and children with recurrent ear infections, often requiring referral to an otolaryngologist.
Documenting parental observations and symptom duration is crucial for accurate coding.
Used for recurrent ASOM requiring surgical intervention.
Document the number of episodes and previous treatments.
Otolaryngologists should provide detailed surgical notes.
Acute otitis media is characterized by sudden onset of symptoms and typically resolves within a few weeks, while chronic otitis media involves persistent symptoms and may lead to complications such as tympanic membrane perforation.
