Central perforation of tympanic membrane, bilateral
ICD-10 H72.03 is a billable code used to indicate a diagnosis of central perforation of tympanic membrane, bilateral.
Central perforation of the tympanic membrane, commonly known as the eardrum, is a condition characterized by a hole or tear in the membrane that separates the outer ear from the middle ear. This perforation can occur bilaterally, affecting both ears, and is often a result of chronic otitis media, trauma, or barotrauma. Patients may present with symptoms such as hearing loss, ear pain, tinnitus, and discharge from the ear. The perforation can lead to complications such as recurrent ear infections and further hearing impairment. Diagnosis typically involves otoscopic examination, where the physician can visualize the perforation. Audiometric testing may also be conducted to assess the degree of hearing loss. Management may include medical treatment with antibiotics for infections, surgical intervention such as tympanoplasty to repair the membrane, and hearing aids if necessary. The prognosis is generally good with appropriate treatment, although some patients may experience persistent hearing loss depending on the extent of the damage.
Detailed notes on the patient's history, physical examination findings, and results of audiometric tests.
Patients presenting with chronic ear infections, trauma to the ear, or post-surgical complications.
Ensure clear documentation of the extent of the perforation and any associated symptoms.
Comprehensive audiometric evaluation results and recommendations for hearing aids or other interventions.
Patients with hearing loss secondary to tympanic membrane perforation.
Document the impact of the perforation on hearing thresholds and communication abilities.
Used for surgical repair of the tympanic membrane in patients with perforations.
Surgical notes detailing the procedure and indications for surgery.
Otolaryngologists must document the extent of the perforation and any complications.
Common causes include chronic otitis media, trauma, and barotrauma. Infections can lead to fluid accumulation and pressure changes that result in perforation.
Diagnosis is typically made through otoscopic examination, where the physician can visualize the perforation. Audiometric testing may also be performed to assess hearing loss.
Treatment options may include medical management with antibiotics for infections, surgical repair through tympanoplasty, and hearing aids if necessary.
