Otorrhea, bilateral
ICD-10 H92.13 is a billable code used to indicate a diagnosis of otorrhea, bilateral.
Otorrhea, or ear discharge, is a clinical condition characterized by the presence of fluid or pus draining from the ear canal. When classified as bilateral, it indicates that both ears are affected. This condition is often associated with underlying ear diseases, particularly otitis media, which is an inflammation or infection of the middle ear. Patients may present with symptoms such as ear pain, hearing loss, fever, and a sensation of fullness in the ear. The discharge can vary in consistency and color, often indicating the nature of the underlying pathology. Diagnostic criteria typically involve a thorough clinical examination, including otoscopy to visualize the tympanic membrane and assess for perforation or fluid accumulation. Management may include antibiotics for bacterial infections, analgesics for pain relief, and in some cases, surgical interventions such as tympanostomy tubes to facilitate drainage and ventilation of the middle ear. Accurate coding of otorrhea is essential for proper treatment documentation and reimbursement, as it reflects the complexity of the patient's condition and the healthcare services provided.
Detailed clinical notes including examination findings, type of discharge, and treatment plan.
Patients presenting with ear pain and discharge, often following upper respiratory infections.
Ensure clear documentation of any surgical interventions or referrals to specialists.
Comprehensive history including onset of symptoms, associated fever, and previous ear infections.
Children with recurrent otitis media presenting with bilateral otorrhea.
Consider developmental milestones and family history of ear diseases.
Performed in cases of recurrent otitis media with otorrhea.
Document the indication for surgery and any pre-operative evaluations.
Otolaryngologists should ensure that all relevant clinical findings are included in the surgical report.
Unilateral otorrhea affects one ear, while bilateral otorrhea involves discharge from both ears. The coding and management may differ based on the underlying causes and clinical presentation.
