Patulous Eustachian tube, left ear
ICD-10 H69.02 is a billable code used to indicate a diagnosis of patulous eustachian tube, left ear.
Patulous Eustachian tube (PET) is a condition characterized by an abnormal patency of the 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. In the left ear, these symptoms may be exacerbated by factors such as weight loss, dehydration, or hormonal changes. Clinically, patients may present with complaints of ear fullness, fluctuating hearing, and discomfort during activities that alter intrathoracic pressure, such as yawning or swallowing. Diagnosis is primarily clinical, supported by patient history and physical examination, including otoscopic evaluation and tympanometry. Management may involve conservative measures such as hydration and nasal decongestants, or surgical interventions like Eustachian tube balloon dilation in refractory cases. Understanding the nuances of this condition is essential for accurate coding and effective patient management.
Detailed patient history, symptom description, and results from diagnostic tests such as tympanometry.
Patients presenting with ear fullness, autophony, or hearing changes.
Documentation must clearly indicate the left ear involvement and any prior treatments attempted.
Audiometric evaluations and patient-reported outcomes regarding hearing changes.
Patients experiencing fluctuating hearing loss or auditory distortions.
Audiologists should document the impact of PET on hearing assessments.
Used for patients with refractory symptoms of PET.
Document the indication for the procedure and prior treatments attempted.
Otolaryngologists should ensure clear documentation of the diagnosis and treatment plan.
Common symptoms include a sensation of fullness in the ear, autophony, and fluctuating hearing loss, particularly during activities that change pressure in the ear.
