Cholesteatoma of attic, right ear
ICD-10 H71.01 is a billable code used to indicate a diagnosis of cholesteatoma of attic, right ear.
Cholesteatoma of the attic is a destructive and expanding growth of skin cells in the middle ear and/or mastoid process. It often arises from chronic otitis media, where repeated infections lead to the accumulation of skin debris and the formation of a sac-like structure. This condition can result in significant complications, including hearing loss, infection, and erosion of surrounding structures. Patients may present with symptoms such as ear discharge, hearing impairment, and sometimes pain or fullness in the ear. Diagnosis is typically made through clinical examination and imaging studies, such as CT scans, which can reveal the extent of the cholesteatoma and any associated complications. Management often involves surgical intervention to remove the cholesteatoma and reconstruct the tympanic membrane, with the goal of restoring hearing and preventing further complications.
Detailed clinical notes including history, physical examination findings, imaging results, and surgical reports.
Patients presenting with chronic ear infections, hearing loss, or post-operative follow-ups after cholesteatoma surgery.
Ensure accurate documentation of the extent of the cholesteatoma and any complications to support coding.
Audiometric evaluations and reports detailing the degree of hearing loss.
Assessment of hearing loss in patients with known cholesteatoma.
Document the impact of cholesteatoma on hearing and any recommendations for intervention.
Performed to remove cholesteatoma and reconstruct the tympanic membrane.
Surgical reports detailing the procedure and findings.
Otolaryngologists should ensure that the surgical approach and findings are well documented.
A cholesteatoma is an abnormal skin growth in the middle ear that can lead to hearing loss and other complications if not treated.
Diagnosis is typically made through a combination of clinical examination, patient history, and imaging studies such as CT scans.
Treatment usually involves surgical removal of the cholesteatoma and reconstruction of the tympanic membrane to restore hearing and prevent complications.
