Otitis media, unspecified, bilateral
ICD-10 H66.93 is a billable code used to indicate a diagnosis of otitis media, unspecified, bilateral.
Otitis media is an inflammation or infection of the middle ear, which can occur in one or both ears. The bilateral designation indicates that both ears are affected, although the specific nature of the infection or inflammation is unspecified. This condition is commonly seen in children but can also affect adults. Symptoms may include ear pain, fever, irritability, and hearing loss. Diagnosis typically involves a physical examination, where a healthcare provider may observe fluid in the middle ear or signs of infection. Treatment often includes pain management, antibiotics if a bacterial infection is suspected, and in some cases, surgical interventions such as tympanostomy tubes to facilitate drainage. The unspecified nature of this code means that further specification regarding the type of otitis media (e.g., acute, chronic, or recurrent) is not provided, which can complicate treatment and management decisions.
Detailed clinical notes on the patient's history, physical examination findings, and treatment plan.
Patients presenting with ear pain, drainage, or hearing loss.
Ensure clear documentation of the type of otitis media and any surgical interventions performed.
Thorough history of recurrent ear infections and developmental milestones.
Children with frequent upper respiratory infections leading to otitis media.
Document family history and any environmental factors contributing to recurrent infections.
Used when surgical intervention is required for recurrent otitis media.
Document indication for surgery, patient history, and pre-operative assessments.
Otolaryngologists should ensure that all criteria for surgery are met and documented.
Use H66.93 when a patient presents with bilateral otitis media, and the specific type is not documented. Ensure that the bilateral nature is clearly indicated in the medical record.
