Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear
ICD-10 H66.019 is a billable code used to indicate a diagnosis of acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear.
Acute suppurative otitis media (ASOM) is an infection of the middle ear characterized by the presence of pus and inflammation. This condition often arises from upper respiratory infections, leading to fluid accumulation in the middle ear. In cases where the pressure from the accumulated pus becomes too great, the tympanic membrane (ear drum) may spontaneously rupture, allowing pus to drain from the ear. Symptoms typically include ear pain, fever, irritability in children, and hearing loss. Diagnosis is primarily clinical, supported by otoscopic examination revealing a bulging, red tympanic membrane, and possibly purulent drainage. Management includes analgesics for pain relief, antibiotics for bacterial infections, and in some cases, surgical intervention such as tympanostomy may be necessary if the condition is recurrent or severe. Accurate coding is essential for appropriate treatment and reimbursement.
Detailed notes on the patient's history, physical examination findings, and treatment plan.
Management of recurrent otitis media in children, evaluation of tympanic membrane status, and surgical interventions.
Ensure clear documentation of the ear affected and the presence of any complications such as hearing loss.
Thorough history of recurrent ear infections, family history, and developmental milestones.
Assessment of acute ear pain in children, management of fever associated with otitis media.
Consider age-related factors in treatment decisions and documentation of parental concerns.
Performed for recurrent acute otitis media with effusion.
Document the indication for surgery and any prior treatments attempted.
Otolaryngologists should ensure clear documentation of the patient's history and examination findings.
Common symptoms include ear pain, fever, irritability in children, and sometimes drainage from the ear. Hearing loss may also occur due to fluid in the middle ear.
Diagnosis is primarily clinical, based on symptoms and otoscopic examination findings, such as a bulging or perforated tympanic membrane.
Treatment typically includes analgesics for pain relief, antibiotics for bacterial infections, and possibly surgical intervention if the condition is recurrent or severe.
