Cholesteatoma of tympanum, bilateral
ICD-10 H71.13 is a billable code used to indicate a diagnosis of cholesteatoma of tympanum, bilateral.
Cholesteatoma is an abnormal skin growth in the middle ear behind the eardrum, often resulting from repeated ear infections or Eustachian tube dysfunction. In bilateral cases, both ears are affected, leading to a range of complications including hearing loss, chronic ear infections, and potential damage to surrounding structures such as the mastoid process. Patients may present with symptoms such as ear discharge, hearing impairment, and a sensation of fullness in the ear. Diagnosis typically involves otoscopic examination, audiometric testing, and imaging studies like CT scans to assess the extent of the cholesteatoma and any associated complications. Management often requires surgical intervention, such as tympanomastoid surgery, to remove the cholesteatoma and reconstruct the tympanic membrane. Postoperative care is crucial to monitor for recurrence and manage any complications.
Detailed clinical notes on symptoms, examination findings, and imaging results.
Patients presenting with chronic ear infections, hearing loss, or post-surgical follow-ups.
Ensure clear documentation of the extent of cholesteatoma and any surgical interventions performed.
Audiometric evaluations and reports on hearing loss severity.
Patients undergoing hearing assessments post-cholesteatoma surgery.
Document the relationship between cholesteatoma and hearing loss for accurate coding.
Used for surgical intervention in cases of cholesteatoma.
Document the extent of the cholesteatoma and surgical findings.
Otolaryngologists should ensure detailed operative notes.
Common symptoms include ear discharge, hearing loss, and a feeling of fullness in the ears. Patients may also experience balance issues if the vestibular system is affected.
