Acute mastoiditis without complications
ICD-10 H70.00 is a billable code used to indicate a diagnosis of acute mastoiditis without complications.
Acute mastoiditis is an infection of the mastoid process, typically resulting from an untreated or inadequately treated middle ear infection (otitis media). The condition is characterized by inflammation and infection of the mastoid air cells, which can lead to significant complications if not addressed promptly. Clinically, patients may present with symptoms such as ear pain, fever, swelling behind the ear, and drainage from the ear canal. Diagnosis is primarily based on clinical evaluation and imaging studies, such as CT scans, which can reveal the extent of the infection. Management often involves antibiotic therapy, and in some cases, surgical intervention may be necessary to drain infected material or to remove necrotic tissue. The absence of complications, such as abscess formation or intracranial involvement, distinguishes this code from other forms of mastoiditis. Prompt recognition and treatment are crucial to prevent progression to more severe conditions, including hearing loss or chronic mastoiditis.
Detailed clinical notes including symptoms, examination findings, and imaging results.
Patients presenting with ear pain, fever, and swelling behind the ear.
Ensure clear documentation of the absence of complications to justify the use of H70.00.
Thorough history and physical examination, including developmental considerations.
Children with recurrent ear infections leading to acute mastoiditis.
Consider age-related factors in presentation and management.
Used when surgical intervention is required for acute mastoiditis.
Document the indication for surgery and pre-operative evaluations.
Otolaryngologists should ensure clear documentation of the surgical necessity.
Common symptoms include ear pain, fever, swelling behind the ear, and drainage from the ear canal.
Diagnosis is typically made through clinical evaluation and imaging studies, such as CT scans, to assess the extent of the infection.
Treatment usually involves antibiotics, and surgical intervention may be necessary if there are complications or lack of improvement.
