Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
ICD-10 H66.011 is a billable code used to indicate a diagnosis of acute suppurative otitis media with 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 and inflammation. It often presents with severe ear pain, fever, irritability in children, and sometimes drainage from the ear if the tympanic membrane (ear drum) ruptures spontaneously. The condition is typically caused by bacterial infections following upper respiratory tract infections. The rupture of the ear drum can lead to a sudden relief of pain and drainage of purulent material, which may be accompanied by hearing loss. Diagnosis is confirmed through clinical examination, often using otoscopy to visualize the tympanic membrane. Management includes antibiotics, analgesics, and in some cases, surgical intervention such as tympanostomy tubes if recurrent infections occur. This code specifically denotes the right ear involvement, which is crucial for accurate coding and treatment planning.
Detailed clinical notes on examination findings, treatment plans, and follow-up care.
Management of acute otitis media, tympanostomy tube placement, and treatment of recurrent infections.
Ensure clear documentation of the ear affected and any surgical interventions performed.
Thorough history and physical examination notes, including parental reports of symptoms.
Diagnosis and treatment of ear infections in children, monitoring for complications.
Document developmental milestones and any impact on hearing or speech.
Used when a patient with recurrent acute otitis media requires surgical intervention.
Document the indication for surgery, pre-operative assessments, and post-operative care.
Otolaryngologists should ensure clear documentation of the surgical procedure and any complications.
Common symptoms include ear pain, fever, irritability in children, drainage from the ear, and hearing loss.
Diagnosis is typically made through clinical examination using otoscopy to visualize the tympanic membrane and assess for signs of infection.
Treatment often includes antibiotics, pain management, and in some cases, surgical intervention such as tympanostomy tubes for recurrent cases.
