Chronic atticoantral suppurative otitis media, unspecified ear
ICD-10 H66.20 is a billable code used to indicate a diagnosis of chronic atticoantral suppurative otitis media, unspecified ear.
Chronic atticoantral suppurative otitis media is a persistent infection of the middle ear characterized by the presence of pus and inflammation, specifically affecting the atticoantral region, which includes the attic (the upper part of the middle ear) and the antrum (a cavity behind the eardrum). This condition often arises from recurrent acute otitis media or can develop as a complication of untreated acute infections. Patients typically present with symptoms such as ear pain, hearing loss, and discharge from the ear. The discharge may be foul-smelling and can vary in consistency. Chronic otitis media can lead to complications such as cholesteatoma, which is an abnormal skin growth in the middle ear that can erode bone and lead to further hearing loss. Diagnosis is made through clinical examination, audiometric testing, and imaging studies if complications are suspected. Management may include medical therapy with antibiotics and decongestants, but surgical intervention, such as tympanoplasty or mastoidectomy, may be necessary for persistent cases or complications.
Detailed history of ear infections, audiometric results, and treatment plans.
Patients with recurrent ear infections, chronic ear discharge, or hearing loss.
Ensure documentation reflects the chronic nature and any surgical interventions performed.
Comprehensive patient history, symptom descriptions, and referrals to specialists.
Initial evaluation of ear pain or discharge, management of acute exacerbations.
Documenting the progression from acute to chronic otitis media is crucial.
Used for surgical intervention in chronic otitis media cases.
Operative report detailing the procedure and indication.
Otolaryngologists must document the extent of disease and surgical findings.
Acute otitis media is a sudden onset infection characterized by rapid symptoms, while chronic otitis media persists for months and often involves ongoing symptoms and complications.
