Diffuse cholesteatosis, unspecified ear
ICD-10 H71.30 is a billable code used to indicate a diagnosis of diffuse cholesteatosis, unspecified ear.
Diffuse cholesteatosis is a condition characterized by the abnormal accumulation of cholesterol and other cellular debris in the middle ear and/or mastoid process. This condition can lead to chronic ear infections, hearing loss, and other complications if left untreated. Patients may present with symptoms such as ear pain, discharge, and hearing impairment. The diagnosis is typically made through a combination of clinical examination, imaging studies (such as CT scans), and audiometric testing. Management often involves surgical intervention, such as tympanomastoid surgery, to remove the cholesteatoma and restore normal ear function. The unspecified nature of this code indicates that the specific ear affected (left, right, or bilateral) is not documented, which can complicate treatment planning and coding accuracy.
Detailed history of ear symptoms, audiometric results, imaging studies, and treatment plans.
Patients presenting with chronic ear infections, hearing loss, or post-surgical follow-ups.
Ensure clear documentation of the ear affected and any surgical interventions performed.
Comprehensive audiometric evaluations and reports on hearing loss.
Assessment of hearing loss in patients with a history of cholesteatosis.
Document the impact of cholesteatosis on hearing and any recommended interventions.
Used for surgical intervention in cases of cholesteatosis.
Document the indication for surgery and findings during the procedure.
Otolaryngologists should ensure complete surgical notes are available.
Diffuse cholesteatosis is a condition characterized by the accumulation of cholesterol and debris in the middle ear, which can lead to chronic infections and hearing loss.
Diagnosis is made through clinical evaluation, imaging studies, and audiometric testing to assess hearing loss.
Treatment typically involves surgical intervention to remove the cholesteatoma and restore normal ear function.