Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear
ICD-10 H66.014 is a billable code used to indicate a diagnosis of acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus and inflammation. In cases where the ear drum (tympanic membrane) ruptures spontaneously, it often leads to the discharge of purulent material from the ear. This condition is recurrent, indicating that the patient has experienced multiple episodes of ASOM. The right ear is specifically affected, which is crucial for accurate coding. Clinically, patients may present with ear pain, fever, irritability in children, and hearing loss. Diagnosis is typically confirmed through otoscopic examination, revealing a bulging, red tympanic membrane with possible perforation. Management includes antibiotics, analgesics, and sometimes surgical intervention such as tympanostomy tubes for recurrent cases. Understanding the nuances of this condition is essential for proper coding and treatment planning.
Detailed history of ear infections, treatment history, and physical examination findings.
Patients presenting with recurrent ear infections, children with persistent otitis media, and adults with complications.
Ensure clear documentation of the nature of the infection and any surgical interventions performed.
Growth and development assessments, vaccination history, and family history of ear infections.
Infants and children with recurrent ear infections and associated symptoms.
Document parental observations and any impact on the child's behavior or development.
Used for recurrent cases requiring drainage and ventilation.
Document the need for surgery due to recurrent infections.
Otolaryngologists should ensure clear indications for surgery are documented.
Specifying the ear is crucial for treatment planning and understanding the patient's condition, as management may differ based on which ear is affected.
