Otalgia, unspecified ear
ICD-10 H92.09 is a billable code used to indicate a diagnosis of otalgia, unspecified ear.
Otalgia, or ear pain, is a common symptom that can arise from various underlying conditions affecting the ear and surrounding structures. The term 'unspecified' indicates that the exact cause of the pain has not been determined. Common causes of otalgia include otitis media (middle ear infection), otitis externa (outer ear infection), and referred pain from dental issues or throat infections. Patients may present with symptoms such as sharp or dull pain, a feeling of fullness in the ear, hearing loss, or drainage from the ear canal. Diagnosis typically involves a thorough history and physical examination, including otoscopic evaluation to assess for signs of infection or other abnormalities. Management may include analgesics for pain relief, antibiotics for bacterial infections, or referral to an otolaryngologist for further evaluation if the pain persists or is associated with significant hearing loss or other complications. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.
Detailed history of present illness, physical examination findings, and any diagnostic tests performed.
Patients presenting with ear pain, hearing loss, or drainage, often following upper respiratory infections.
Ensure that the documentation clearly supports the diagnosis of unspecified otalgia and any treatments provided.
Comprehensive patient history, including duration and characteristics of pain, and any associated symptoms.
Patients with acute ear pain, often with concurrent respiratory symptoms.
Document any referrals made to specialists for further evaluation.
Used when a patient presents with ear pain for evaluation.
Document history, examination findings, and treatment plan.
Ensure that the visit is appropriately linked to the diagnosis of otalgia.
H92.09 should be used when the cause of otalgia is not clearly defined or documented. If a specific diagnosis such as otitis media or otitis externa is confirmed, use the appropriate code instead.
