Intrinsic cartilagenous obstruction of Eustachian tube, bilateral
ICD-10 H68.123 is a billable code used to indicate a diagnosis of intrinsic cartilagenous obstruction of eustachian tube, bilateral.
Intrinsic cartilagenous obstruction of the Eustachian tube is a condition characterized by the narrowing or blockage of the Eustachian tube due to intrinsic factors, such as inflammation or structural abnormalities of the cartilage. This obstruction can lead to a variety of complications, including middle ear effusion, otitis media, and hearing loss. In bilateral cases, both Eustachian tubes are affected, which can exacerbate symptoms and complicate management. Patients may present with symptoms such as ear fullness, pressure, tinnitus, and hearing impairment. Diagnosis typically involves a thorough clinical examination, audiometric testing, and possibly imaging studies to assess the anatomy of the Eustachian tubes. Management may include medical therapies such as decongestants, nasal corticosteroids, or surgical interventions like balloon Eustachian tuboplasty if conservative measures fail. Understanding the underlying causes and appropriate treatment options is crucial for effective management of this condition.
Detailed history of symptoms, physical examination findings, audiometric results, and treatment plans.
Patients presenting with recurrent otitis media, hearing loss, or chronic ear fullness.
Ensure clear documentation of the bilateral nature of the obstruction and any associated conditions.
History of allergic rhinitis or other allergic conditions that may contribute to Eustachian tube dysfunction.
Patients with allergies presenting with Eustachian tube obstruction symptoms.
Documenting the relationship between allergic conditions and Eustachian tube dysfunction is essential for accurate coding.
Used when conservative management fails and surgical intervention is warranted.
Document the indication for surgery, pre-operative assessments, and post-operative care.
Otolaryngologists should ensure that the surgical necessity is well-documented to support the procedure.
Common symptoms include ear fullness, pressure, tinnitus, and hearing loss. Patients may also experience recurrent ear infections due to fluid accumulation.
Diagnosis typically involves a clinical examination, audiometric testing, and possibly imaging studies to assess the Eustachian tube's anatomy and function.
Treatment may include medical management with decongestants and nasal corticosteroids, or surgical options like balloon Eustachian tuboplasty if conservative measures fail.
