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ICD-10 Guide
ICD-10 CodesH70.12

H70.12

Billable

Chronic mastoiditis, left ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H70.12 is a billable code used to indicate a diagnosis of chronic mastoiditis, left ear.

Key Diagnostic Point:

Chronic mastoiditis is a persistent inflammatory condition affecting the mastoid process of the temporal bone, typically resulting from unresolved acute otitis media or recurrent ear infections. In chronic cases, the mastoid air cells become filled with fluid or infected material, leading to symptoms such as ear pain, drainage, and hearing loss. Patients may also experience systemic symptoms like fever and malaise. Diagnosis is confirmed through clinical evaluation, imaging studies such as CT scans, and audiometric testing to assess hearing loss. Management often involves antibiotic therapy, and in cases of significant bone destruction or complications, surgical intervention such as mastoidectomy may be necessary. Chronic mastoiditis can lead to serious complications, including hearing impairment and intracranial infections, making timely diagnosis and treatment crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acute and chronic mastoiditis
  • Need for detailed documentation of symptoms and treatment history
  • Potential for co-existing conditions affecting coding
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of chronicity
  • Failure to document prior treatments or interventions
  • Misclassification of acute versus chronic conditions
  • Lack of imaging results in the medical record

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of ear infections, treatment history, and results of imaging studies.

Common Clinical Scenarios

Patients presenting with recurrent ear infections, persistent ear drainage, or hearing loss.

Billing Considerations

Ensure documentation reflects the chronic nature of the condition and any surgical interventions performed.

Audiology

Documentation Requirements

Audiometric evaluations and reports detailing the extent of hearing loss.

Common Clinical Scenarios

Patients undergoing hearing assessments due to suspected mastoiditis-related hearing loss.

Billing Considerations

Document the relationship between mastoiditis and hearing impairment clearly.

Coding Guidelines

Inclusion Criteria

Use H70.12 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's chronicity and any associated complications
  • Include relevant imaging and treatment history to support the diagnosis

Exclusion Criteria

Do NOT use H70.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69631CPT Code

Mastoidectomy

Clinical Scenario

Performed for chronic mastoiditis with complications.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Otolaryngology specialists must document the extent of disease and rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chronic mastoiditis, improving the accuracy of diagnoses and treatment tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chronic mastoiditis, improving the accuracy of diagnoses and treatment tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chronic mastoiditis, improving the accuracy of diagnoses and treatment tracking.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery

Frequently Asked Questions

What are the common symptoms of chronic mastoiditis?

Common symptoms include persistent ear pain, drainage from the ear, hearing loss, and sometimes fever or malaise.

How is chronic mastoiditis diagnosed?

Diagnosis is typically made through a combination of clinical evaluation, patient history, imaging studies, and audiometric testing.

What treatment options are available for chronic mastoiditis?

Treatment may include antibiotics, and in severe cases, surgical intervention such as mastoidectomy may be necessary.