Intrinsic cartilagenous obstruction of Eustachian tube, right ear
ICD-10 H68.121 is a billable code used to indicate a diagnosis of intrinsic cartilagenous obstruction of eustachian tube, right ear.
Intrinsic cartilagenous obstruction of the Eustachian tube in the right ear refers to a condition where the cartilage of the Eustachian tube becomes obstructed, leading to impaired drainage of the middle ear. This obstruction can result from various factors, including inflammation, infection, or structural abnormalities. Clinically, patients may present with symptoms such as ear fullness, hearing loss, tinnitus, and recurrent otitis media. The obstruction can lead to negative pressure in the middle ear, resulting in fluid accumulation and potential complications such as tympanic membrane perforation or chronic otitis media. Diagnosis typically involves a thorough history, physical examination, and may include audiometric testing and tympanometry to assess middle ear function. Management may include medical therapy such as decongestants, nasal corticosteroids, or surgical interventions like balloon Eustachian tuboplasty if conservative measures fail. Accurate coding is essential for appropriate reimbursement and tracking of healthcare outcomes.
Detailed history of ear symptoms, physical examination findings, and results of audiometric tests.
Patients presenting with recurrent otitis media, hearing loss, or chronic ear fullness.
Ensure documentation reflects the specific nature of the obstruction and any interventions performed.
History of allergic rhinitis or other allergic conditions that may contribute to Eustachian tube dysfunction.
Patients with allergies presenting with ear symptoms related to Eustachian tube obstruction.
Document any allergy testing and treatment plans that may impact Eustachian tube function.
Used in cases where conservative management fails and obstruction is confirmed.
Document the indication for the procedure, findings during the procedure, and post-operative care.
Otolaryngologists should ensure that the procedure is justified based on the patient's history and examination findings.
Common symptoms include ear fullness, hearing loss, tinnitus, and recurrent ear infections. Patients may also experience discomfort or pressure in the affected ear.
