Osseous obstruction of Eustachian tube, bilateral
ICD-10 H68.113 is a billable code used to indicate a diagnosis of osseous obstruction of eustachian tube, bilateral.
Osseous obstruction of the Eustachian tube, bilateral, refers to a condition where bone growth or abnormal bony structures obstruct both Eustachian tubes, leading to impaired drainage of the middle ear. This obstruction can result in a variety of complications, including chronic otitis media, hearing loss, and increased susceptibility to ear infections. Patients may present with symptoms such as ear fullness, pain, hearing impairment, and recurrent otitis media. Diagnosis typically involves a thorough clinical examination, audiometric testing, and imaging studies such as CT scans to visualize the Eustachian tubes and surrounding structures. Management may include medical therapy, such as decongestants and nasal corticosteroids, and in some cases, surgical intervention may be necessary to relieve the obstruction and restore normal function. Understanding the underlying pathophysiology and clinical implications of this condition is crucial for effective treatment and coding.
Detailed history of ear symptoms, audiometric results, and imaging studies.
Patients with recurrent otitis media, chronic ear pain, or hearing loss.
Ensure documentation reflects the bilateral nature of the obstruction and any surgical interventions performed.
Comprehensive audiological evaluations and reports on hearing loss.
Assessment of hearing loss related to Eustachian tube dysfunction.
Document the impact of Eustachian tube obstruction on hearing thresholds and speech discrimination scores.
Used in cases of chronic otitis media due to Eustachian tube obstruction.
Document the indication for surgery, preoperative evaluation, and postoperative care.
Otolaryngologists should ensure that the surgical necessity is well-documented.
Common symptoms include ear fullness, pain, hearing loss, and recurrent ear infections. Patients may also experience pressure changes and tinnitus.
