Other chronic suppurative otitis media
ICD-10 H66.3 is a billable code used to indicate a diagnosis of other chronic suppurative otitis media.
Chronic suppurative otitis media (CSOM) is a persistent ear infection characterized by the presence of pus in the middle ear and/or mastoid cavity, often leading to perforation of the tympanic membrane. This condition can result from recurrent acute otitis media or may arise from other underlying conditions such as Eustachian tube dysfunction, allergies, or chronic sinusitis. Patients typically present with symptoms such as ear discharge, hearing loss, and sometimes pain or discomfort in the ear. The discharge may be foul-smelling and can vary in consistency. Diagnosis is primarily clinical, supported by otoscopic examination revealing tympanic membrane perforation and purulent discharge. Audiometric testing may be performed to assess the degree of hearing loss. Management often involves medical treatment with antibiotics and topical ear drops, but surgical intervention, such as tympanoplasty or mastoidectomy, may be necessary in cases of persistent infection or significant hearing loss. Chronic suppurative otitis media can lead to complications, including cholesteatoma, mastoiditis, and, in severe cases, intracranial infections.
Detailed history of ear infections, audiometric results, and treatment plans.
Patients with recurrent ear infections, chronic ear discharge, and those requiring surgical intervention.
Ensure documentation reflects the chronic nature of the condition and any complications.
History of recurrent otitis media, family history, and developmental milestones.
Children with frequent ear infections and associated hearing loss.
Documenting the impact on speech and language development is crucial.
Performed for chronic suppurative otitis media with tympanic membrane perforation.
Operative report detailing the procedure and indication.
Otolaryngologists must document the extent of the disease and any complications.
H66.3 refers to chronic suppurative otitis media, while H66.0 is for acute suppurative otitis media. The distinction is based on the duration and nature of the symptoms.
