Labyrinthine fistula, unspecified ear
ICD-10 H83.19 is a billable code used to indicate a diagnosis of labyrinthine fistula, unspecified ear.
A labyrinthine fistula is an abnormal connection between the inner ear (labyrinth) and the surrounding structures, often resulting from chronic otitis media, trauma, or surgical interventions. 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. Patients may present with sudden changes in hearing, episodes of dizziness, or a sensation of spinning. Diagnosis typically involves a thorough clinical evaluation, including audiometric testing, vestibular function tests, and imaging studies such as CT or MRI to visualize the inner ear structures. Management may include surgical intervention to repair the fistula, especially if conservative measures fail. The unspecified nature of this code indicates that the specific ear affected is not documented, which can complicate treatment planning and outcomes.
Detailed history of ear symptoms, audiometric results, and imaging studies.
Patients presenting with chronic ear infections, sudden hearing loss, or vertigo.
Ensure clear documentation of the clinical rationale for surgical intervention.
Comprehensive audiological evaluations and vestibular assessments.
Patients undergoing hearing assessments post-otitis media or trauma.
Document the relationship between audiological findings and the labyrinthine fistula.
Used when surgical intervention is performed to repair the fistula.
Surgical notes detailing the procedure and findings.
Otolaryngologists should document the rationale for surgery and any pre-operative evaluations.
Common symptoms include hearing loss, vertigo, and tinnitus, often exacerbated by changes in pressure or head position.
Diagnosis typically involves a combination of clinical evaluation, audiometric testing, and imaging studies such as CT or MRI.
Treatment may include conservative management or surgical repair, depending on the severity of symptoms and the underlying cause.
