Total perforations of tympanic membrane
ICD-10 H72.82 is a billable code used to indicate a diagnosis of total perforations of tympanic membrane.
Total perforations of the tympanic membrane, also known as the eardrum, refer to a complete rupture or tear that compromises its integrity. This condition can arise from various etiologies, including chronic otitis media, trauma, barotrauma, or exposure to foreign objects. Clinically, patients may present with symptoms such as hearing loss, otorrhea (ear discharge), tinnitus, and ear pain. The perforation can lead to complications such as recurrent infections, cholesteatoma, or further hearing impairment. Diagnosis typically involves otoscopic examination, which reveals the extent and location of the perforation. Management may include medical treatment with antibiotics for associated infections, surgical intervention such as tympanoplasty for repair, and audiological assessments to evaluate hearing loss. The prognosis varies depending on the size of the perforation and the underlying cause, with many patients experiencing significant improvement post-treatment.
Detailed otoscopic findings, treatment plans, and follow-up assessments.
Patients presenting with chronic ear infections, trauma-related perforations, or post-surgical complications.
Ensure clear documentation of the size and location of the perforation, as well as any surgical interventions performed.
Audiometric evaluations and reports detailing the impact of the perforation on hearing.
Patients undergoing hearing assessments post-perforation or post-surgery.
Document the correlation between tympanic membrane status and hearing loss to support coding.
Used for surgical repair of total perforations.
Operative report detailing the procedure and findings.
Otolaryngologists must document the extent of the perforation and any complications.
Common causes include chronic otitis media, trauma, barotrauma, and foreign body insertion. Each cause may require different management strategies.
