Acute mastoiditis without complications, right ear
ICD-10 H70.001 is a billable code used to indicate a diagnosis of acute mastoiditis without complications, right ear.
Acute mastoiditis is an infection of the mastoid process, typically resulting from an untreated or inadequately treated acute otitis media. The condition is characterized by inflammation and infection of the mastoid air cells, which can lead to significant morbidity if not addressed promptly. Patients often present with symptoms such as ear pain, fever, and swelling behind the ear. In acute mastoiditis without complications, there are no abscesses or other severe manifestations, making it crucial to differentiate from more severe forms of mastoiditis. Diagnosis is primarily clinical, supported by imaging studies like CT scans when necessary. Management typically involves antibiotics, and in some cases, surgical intervention may be required to drain infected material. The right ear designation is essential for accurate coding and treatment planning, as it informs the healthcare team of the affected site.
Detailed clinical notes on symptoms, examination findings, and treatment plans.
Patients presenting with ear pain, fever, and swelling behind the ear.
Ensure clear documentation of the acute nature of the condition and any surgical interventions performed.
Thorough history and physical examination, including family history of ear infections.
Children with recurrent otitis media leading to mastoiditis.
Consider age-related factors in treatment and documentation.
Often performed in conjunction with treatment for acute mastoiditis in children.
Document indication for tympanostomy and any findings during the procedure.
Otolaryngologists should ensure clear documentation of the need for surgical intervention.
Common symptoms include ear pain, fever, swelling behind the ear, and sometimes drainage from the ear.
Diagnosis is primarily clinical, supported by imaging studies like CT scans to assess the extent of the infection.
Treatment usually involves antibiotics, and in some cases, surgical intervention may be necessary to drain infected material.
