Multiple perforations of tympanic membrane, left ear
ICD-10 H72.812 is a billable code used to indicate a diagnosis of multiple perforations of tympanic membrane, left ear.
Multiple perforations of the tympanic membrane (TM) in the left ear can occur due to various etiologies, including chronic otitis media, trauma, or barotrauma. Clinically, patients may present with symptoms such as hearing loss, otorrhea (ear discharge), and ear pain. The tympanic membrane serves as a barrier to protect the middle ear from pathogens and external elements; thus, perforations can lead to recurrent infections and further complications. Diagnosis typically involves otoscopic examination, which reveals the presence of multiple perforations in the TM. Audiometric testing may also be conducted to assess the degree of hearing loss. Management strategies may include medical treatment with antibiotics for infections, tympanoplasty for surgical repair, and regular follow-up to monitor for complications. The presence of multiple perforations can complicate treatment and may require a multidisciplinary approach involving otolaryngologists and audiologists.
Detailed notes on the examination findings, including the size and location of perforations, and any associated findings such as fluid in the middle ear.
Patients presenting with recurrent ear infections, hearing loss, or post-traumatic ear injuries.
Ensure that all surgical interventions are documented, including pre-operative assessments and post-operative outcomes.
Audiometric evaluations to assess the impact of perforations on hearing, including pure-tone thresholds and speech discrimination scores.
Patients with hearing loss secondary to tympanic membrane perforations requiring hearing aids or other assistive devices.
Document the correlation between tympanic membrane status and hearing loss to support the need for audiological interventions.
Used for surgical repair of multiple perforations in the tympanic membrane.
Pre-operative assessment, surgical notes detailing the procedure, and post-operative follow-up.
Otolaryngologists should ensure that all aspects of the surgery are documented to support the coding.
Common causes include chronic otitis media, trauma, and barotrauma. Each of these conditions can lead to damage of the tympanic membrane, resulting in multiple perforations.
Diagnosis is typically made through an otoscopic examination, which reveals the presence of multiple perforations in the tympanic membrane. Audiometric testing may also be performed to assess the impact on hearing.
Treatment options may include medical management with antibiotics for infections, tympanoplasty for surgical repair, and regular monitoring for complications.
