Multiple perforations of tympanic membrane, bilateral
ICD-10 H72.813 is a billable code used to indicate a diagnosis of multiple perforations of tympanic membrane, bilateral.
Multiple perforations of the tympanic membrane, commonly referred to as the eardrum, can occur due to various etiologies, including chronic otitis media, trauma, or barotrauma. This condition is characterized by the presence of two or more perforations in the tympanic membrane of both ears, which can lead to significant auditory impairment and increased susceptibility to infections. Clinically, patients may present with symptoms such as hearing loss, ear pain, discharge from the ear, and a sensation of fullness. Diagnosis is typically made through otoscopic examination, which reveals the perforations and assesses their size and location. Management may involve medical treatment, such as antibiotics for associated infections, or surgical interventions like tympanoplasty to repair the perforations. The presence of bilateral perforations can complicate treatment and may require a multidisciplinary approach, including audiology and otolaryngology consultations.
Detailed otoscopic findings, treatment plans, and follow-up care.
Management of chronic otitis media leading to tympanic membrane perforations.
Ensure documentation reflects the bilateral nature and any associated procedures.
Audiometric evaluations and hearing loss assessments.
Assessment of hearing loss due to tympanic membrane perforations.
Document the impact of perforations on hearing thresholds.
Used when surgical repair of the tympanic membrane is performed due to multiple perforations.
Operative report detailing the procedure and findings.
Otolaryngology specialists should ensure accurate coding of the procedure in relation to the diagnosis.
Common causes include chronic otitis media, trauma, and barotrauma. Each of these conditions can lead to the development of multiple perforations, necessitating careful evaluation and management.
