Labyrinthine fistula, bilateral
ICD-10 H83.13 is a billable code used to indicate a diagnosis of labyrinthine fistula, bilateral.
A labyrinthine fistula is an abnormal connection between the inner ear (labyrinth) and the surrounding structures, often resulting from chronic otitis media or trauma. When bilateral, it indicates that both ears are affected. Patients may present with symptoms such as hearing loss, tinnitus, and balance disturbances due to the disruption of normal auditory and vestibular function. The condition can arise from various etiologies, including chronic ear infections, cholesteatoma, or surgical complications. Diagnosis typically involves audiometric testing, imaging studies like CT or MRI, and sometimes vestibular function tests. Management may include surgical intervention to repair the fistula, addressing underlying causes, and rehabilitative therapies for hearing and balance. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed history of ear symptoms, imaging results, and treatment plans.
Patients with chronic otitis media presenting with hearing loss and balance issues.
Ensure documentation reflects the bilateral nature and any surgical interventions performed.
Comprehensive audiometric evaluations and vestibular assessments.
Patients undergoing hearing assessments post-surgery for labyrinthine fistula.
Document the impact of the fistula on hearing and balance function.
Used when surgical intervention is performed to repair the fistula.
Operative report detailing the procedure and findings.
Otolaryngology specialists should ensure all surgical details are documented.
Common symptoms include hearing loss, tinnitus, and balance disturbances due to the involvement of both inner ears.
Diagnosis typically involves a combination of patient history, audiometric testing, imaging studies, and sometimes vestibular function tests.
Management often includes surgical repair of the fistula, addressing any underlying conditions, and rehabilitative therapies for hearing and balance.
