Labyrinthine fistula, left ear
ICD-10 H83.12 is a billable code used to indicate a diagnosis of labyrinthine fistula, left ear.
A labyrinthine fistula is an abnormal connection between the inner ear (labyrinth) and the surrounding structures, often resulting from chronic otitis media or trauma. In the left ear, this condition can lead to symptoms such as hearing loss, vertigo, and tinnitus. The labyrinth is responsible for both hearing and balance, and a fistula can disrupt these functions. Clinically, patients may present with sudden onset of vertigo, fluctuating hearing loss, or a feeling of fullness in the ear. Diagnosis typically involves a thorough history, physical examination, and imaging studies such as CT or MRI to visualize the fistula. Audiometric testing may also be performed to assess hearing loss. Management may include surgical intervention to repair the fistula, especially if conservative measures fail. The prognosis varies depending on the underlying cause and the timing of intervention.
Detailed history of ear symptoms, imaging results, and audiometric evaluations.
Patients presenting with chronic ear infections, sudden hearing loss, or vertigo.
Ensure that all surgical interventions are documented, including pre-operative and post-operative assessments.
Comprehensive audiometric evaluations and reports on hearing function.
Patients undergoing hearing assessments post-fistula repair or with unexplained hearing loss.
Document the relationship between hearing loss and labyrinthine fistula for accurate coding.
Used when surgical intervention is performed to repair the fistula.
Document the surgical procedure, indications, and post-operative care.
Otolaryngologists must ensure all surgical details are accurately captured.
Common causes include chronic otitis media, trauma to the ear, and congenital defects. These factors can lead to a breach in the labyrinth, resulting in the fistula.
