Central perforation of tympanic membrane, right ear
ICD-10 H72.01 is a billable code used to indicate a diagnosis of central perforation of tympanic membrane, right ear.
Central perforation of the tympanic membrane (TM) in the right ear is a condition characterized by a defect or hole in the TM, which separates the external ear from the middle ear. This perforation can result from various causes, including chronic otitis media, trauma, or barotrauma. Clinically, patients may present with symptoms such as hearing loss, otorrhea (ear discharge), tinnitus, and sometimes pain. The perforation can be diagnosed through otoscopic examination, where the physician can visualize the TM and assess the size and location of the perforation. Management typically involves treating any underlying infection, providing analgesics for pain relief, and in some cases, surgical intervention such as tympanoplasty may be necessary to repair the TM and restore hearing. The prognosis is generally good, especially with appropriate treatment, although some patients may experience persistent hearing loss depending on the extent of the damage.
Detailed otoscopic findings, treatment plans, and follow-up care.
Patients presenting with chronic ear infections, trauma to the ear, or post-surgical evaluations.
Ensure clear documentation of the size and location of the perforation, as well as any surgical interventions performed.
Hearing assessments, audiograms, and patient history related to hearing loss.
Patients with hearing loss secondary to tympanic membrane perforation or chronic otitis media.
Document the impact of the perforation on hearing and any recommended audiological interventions.
Used when surgical repair of the tympanic membrane is performed.
Operative report detailing the procedure and findings.
Otolaryngologists should ensure that the reason for surgery is clearly documented.
Common causes include chronic otitis media, trauma, and barotrauma. Infections can lead to inflammation and subsequent perforation.
Treatment may involve antibiotics for infection, pain management, and possibly surgical repair (tympanoplasty) if the perforation does not heal on its own.
