Acute mastoiditis with other complications, right ear
ICD-10 H70.091 is a billable code used to indicate a diagnosis of acute mastoiditis with other complications, right ear.
Acute mastoiditis is an infection of the mastoid process, typically resulting from an untreated or inadequately treated middle ear infection (otitis media). This condition is characterized by inflammation and infection of the mastoid air cells, which can lead to complications such as abscess formation, hearing loss, and potential spread of infection to surrounding structures. Patients often present with symptoms including ear pain, fever, swelling behind the ear, and drainage from the ear canal. Diagnosis is primarily clinical, supported by imaging studies such as CT scans to assess the extent of the infection and any complications. Management typically involves antibiotics and may require surgical intervention, such as mastoidectomy, to drain infected material and prevent further complications. The right ear designation is crucial for accurate coding and treatment planning, as it influences the choice of surgical approach and potential outcomes.
Detailed clinical notes on symptoms, examination findings, imaging results, and treatment plans.
Patients presenting with ear pain, fever, and swelling behind the ear, often following a recent upper respiratory infection.
Ensure documentation reflects the severity of the infection and any complications to support the use of H70.091.
Thorough history of ear infections, family history, and response to previous treatments.
Children with recurrent otitis media who develop acute mastoiditis.
Consider age-related factors in treatment and coding, as pediatric patients may present differently.
Used when surgical intervention is required for acute mastoiditis.
Operative report detailing the procedure and findings.
Otolaryngologists should ensure that the surgical necessity is well documented.
Common complications include abscess formation, hearing loss, and the potential spread of infection to surrounding structures, such as the brain or cranial cavity.
