Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral
ICD-10 H66.016 is a billable code used to indicate a diagnosis of acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral.
Acute suppurative otitis media (ASOM) is characterized by the presence of pus in the middle ear, leading to inflammation and infection. This condition often presents with ear pain, fever, irritability in children, and hearing loss. In cases where the ear drum (tympanic membrane) ruptures spontaneously, there may be drainage of purulent material from the ear canal. The recurrent nature of this condition indicates that the patient has experienced multiple episodes of ASOM, which can lead to complications such as chronic otitis media or hearing impairment. Bilateral involvement suggests that both ears are affected, which can complicate management and increase the risk of hearing loss. Diagnosis is typically confirmed through clinical examination and otoscopy, revealing a bulging, erythematous tympanic membrane, and possibly purulent discharge. Management includes antibiotics, analgesics, and in some cases, tympanostomy tubes may be indicated to prevent further episodes.
Detailed history of recurrent episodes, treatment plans, and outcomes.
Patients presenting with recurrent ear infections, drainage, and hearing loss.
Ensure clear documentation of the tympanic membrane status and any surgical interventions.
Thorough history of symptoms, family history of ear infections, and developmental assessments.
Children with recurrent ear infections requiring evaluation for potential surgical intervention.
Documenting the impact on hearing and speech development is crucial.
Performed in cases of recurrent ASOM to prevent further infections.
Document the indication for surgery, including recurrent infections and hearing loss.
Otolaryngologists should ensure thorough pre-operative assessments.
Common symptoms include ear pain, fever, irritability in children, drainage from the ear, and hearing loss.
Diagnosis is typically made through clinical examination, otoscopy, and patient history, often revealing a bulging, red tympanic membrane.
Treatment may include antibiotics, pain management, and in some cases, surgical interventions like tympanostomy tubes.
Documentation should include the patient's history of recurrent infections, clinical findings, treatment plans, and any surgical interventions.
