Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
ICD-10 H66.017 is a billable code used to indicate a diagnosis of acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear.
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 symptoms such as ear pain, fever, irritability in children, and hearing loss. In cases where the eardrum ruptures spontaneously, there may be drainage of purulent material from the ear canal, providing temporary relief from pain. Recurrent episodes of ASOM can occur, particularly in children, and may be associated with upper respiratory infections or allergies. The unspecified ear designation indicates that the condition is not limited to one ear, complicating treatment and management. Diagnosis typically involves otoscopic examination, which reveals a bulging, red eardrum, and may include tympanometry or audiometry to assess hearing loss. Management includes antibiotics for bacterial infections, analgesics for pain relief, and in some cases, surgical intervention such as tympanostomy tubes to prevent further episodes. Proper coding is essential for accurate billing and treatment tracking.
Detailed history of ear infections, treatment history, and examination findings.
Patients presenting with recurrent ear infections, drainage from the ear, or hearing loss.
Ensure documentation reflects the acute nature and recurrence of the condition.
Growth and development assessments, vaccination history, and family history of ear infections.
Children with recurrent otitis media, especially following upper respiratory infections.
Document parental concerns and any prior treatments or interventions.
Used for recurrent otitis media with effusion.
Document the need for surgical intervention due to recurrent infections.
Otolaryngologists should ensure clear justification for surgery.
Specifying 'recurrent' indicates that the patient has had multiple episodes of ASOM, which may require different management strategies and can affect treatment decisions.
