Unspecified mastoiditis, right ear
ICD-10 H70.91 is a billable code used to indicate a diagnosis of unspecified mastoiditis, right ear.
Unspecified mastoiditis refers to an inflammatory condition affecting the mastoid process of the temporal bone, typically resulting from an untreated or inadequately treated middle ear infection (otitis media). This condition can lead to complications such as hearing loss, vestibular dysfunction, and in severe cases, intracranial infections. Patients may present with symptoms including ear pain, fever, drainage from the ear, and swelling behind the ear. Diagnosis is primarily clinical, supported by imaging studies such as CT scans to assess the extent of the infection. Management often involves antibiotics, and in cases of abscess formation or chronic mastoiditis, surgical intervention such as mastoidectomy may be necessary. Accurate coding is crucial for appropriate treatment reimbursement and tracking of healthcare outcomes.
Detailed clinical notes on symptoms, examination findings, and treatment plans.
Patients presenting with ear pain, fever, and drainage; recurrent otitis media leading to mastoiditis.
Ensure documentation reflects the severity and duration of symptoms to support the diagnosis.
Thorough history of ear infections, family history, and developmental milestones.
Children with recurrent ear infections leading to mastoiditis.
Consider age-related factors in treatment and documentation.
Used in cases of chronic mastoiditis requiring surgical intervention.
Document indications for surgery, pre-operative assessments, and post-operative care.
Otolaryngologists should ensure all surgical notes are detailed and include findings.
Common symptoms include ear pain, fever, swelling behind the ear, drainage from the ear, and hearing loss.
Diagnosis is typically made through clinical evaluation, otoscopic examination, and imaging studies like CT scans.
Treatment may include antibiotics, and in severe cases, surgical intervention such as mastoidectomy may be necessary.
