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ICD-10 Guide
ICD-10 CodesH92.10

H92.10

Billable

Otorrhea, unspecified ear

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 H92.10 is a billable code used to indicate a diagnosis of otorrhea, unspecified ear.

Key Diagnostic Point:

Otorrhea, or ear discharge, is a clinical symptom characterized by the presence of fluid or pus draining from the ear canal. This condition can arise from various underlying pathologies, including otitis media, otitis externa, or perforation of the tympanic membrane. The discharge may be serous, purulent, or bloody, and its characteristics can provide clues to the underlying cause. In cases of otitis media, the discharge may be associated with pain, fever, and hearing loss, while otitis externa may present with itching and inflammation of the ear canal. The diagnosis of otorrhea is typically made through clinical examination, which may include otoscopy to visualize the ear canal and tympanic membrane. Additional diagnostic tests, such as cultures or imaging studies, may be warranted based on the clinical presentation. Management of otorrhea focuses on treating the underlying cause, which may involve antibiotics for bacterial infections, analgesics for pain relief, or surgical interventions such as tympanostomy tubes for recurrent otitis media. Accurate coding of otorrhea is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to otorrhea
  • Differentiation between types of ear infections
  • Potential for co-existing conditions affecting coding
  • Need for precise documentation of symptoms and treatment

Audit Risk Factors

  • Inadequate documentation of the cause of otorrhea
  • Failure to specify the affected ear
  • Misclassification of the type of ear infection
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of present illness, physical examination findings, and treatment plan.

Common Clinical Scenarios

Patients presenting with ear pain, discharge, and hearing loss due to otitis media or externa.

Billing Considerations

Ensure documentation specifies the type of otorrhea and any associated symptoms for accurate coding.

Pediatrics

Documentation Requirements

Complete medical history, including recurrent ear infections and treatment history.

Common Clinical Scenarios

Children with recurrent otitis media presenting with otorrhea.

Billing Considerations

Consider age-related factors and developmental milestones when documenting.

Coding Guidelines

Inclusion Criteria

Use H92.10 When
  • According to ICD
  • 10 coding guidelines, otorrhea is classified under diseases of the ear and mastoid process
  • Coders must ensure that the diagnosis is supported by clinical documentation and that the appropriate level of specificity is used based on the clinical scenario

Exclusion Criteria

Do NOT use H92.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

When a patient presents with otorrhea and cerumen impaction.

Documentation Requirements

Document the presence of cerumen and the procedure performed.

Specialty Considerations

Otolaryngologists may perform this procedure in conjunction with other treatments for otorrhea.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding ear conditions, including otorrhea. This has improved the ability to track and manage ear-related diseases more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding ear conditions, including otorrhea. This has improved the ability to track and manage ear-related diseases more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding ear conditions, including otorrhea. This has improved the ability to track and manage ear-related diseases more effectively.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between H92.10 and H92.11?

H92.10 is used for unspecified otorrhea, while H92.11 specifies otorrhea in the right ear. Accurate coding requires documentation of the affected ear.