Patulous Eustachian tube, unspecified ear
ICD-10 H69.00 is a billable code used to indicate a diagnosis of patulous eustachian tube, unspecified ear.
Patulous Eustachian tube (PET) is a condition characterized by an abnormally open Eustachian tube, which connects the middle ear to the nasopharynx. This condition can lead to various auditory symptoms, including a sensation of fullness in the ear, autophony (hearing one's own voice loudly), and potential hearing loss. The condition may be triggered by factors such as weight loss, hormonal changes, or nasal congestion. Patients may experience fluctuating hearing and a feeling of ear pressure, which can be exacerbated by changes in altitude or during physical exertion. Diagnosis typically involves a thorough clinical history, otoscopic examination, and possibly tympanometry or audiometry to assess middle ear function and hearing levels. Management may include conservative measures such as nasal decongestants, hydration, and in some cases, surgical interventions like Eustachian tube balloon dilation. Understanding the nuances of this condition is crucial for accurate coding and effective patient management.
Detailed clinical history, examination findings, and results of diagnostic tests such as tympanometry.
Patients presenting with ear fullness, autophony, or hearing loss.
Ensure documentation reflects the impact of symptoms on daily activities and any prior treatments attempted.
Audiometric evaluations and assessments of middle ear function.
Patients undergoing hearing assessments due to suspected Eustachian tube dysfunction.
Document the correlation between audiometric findings and reported symptoms.
Used in cases where conservative management fails.
Document the indication for the procedure and any prior treatments attempted.
Otolaryngologists should ensure that the procedure is justified based on the patient's symptoms and diagnostic findings.
Common symptoms include a sensation of fullness in the ear, autophony, and fluctuating hearing loss. Patients may also experience ear pressure changes during altitude shifts.
