Otorrhagia, right ear
ICD-10 H92.21 is a billable code used to indicate a diagnosis of otorrhagia, right ear.
Otorrhagia, or ear bleeding, specifically from the right ear, can be indicative of various underlying conditions affecting the ear and mastoid process. This condition may arise from trauma, infections such as otitis media or externa, or neoplastic processes. Clinical presentation often includes visible blood in the ear canal, which may be accompanied by pain, hearing loss, or discharge. Diagnostic criteria typically involve a thorough history and physical examination, including otoscopic evaluation to identify the source of bleeding. Management may include addressing the underlying cause, such as treating infections with antibiotics, managing trauma with appropriate wound care, or surgical interventions if necessary. It is crucial for healthcare providers to document the clinical findings and any associated symptoms to ensure accurate coding and reimbursement.
Detailed history of present illness, physical examination findings, and any imaging studies performed.
Patients presenting with ear pain, bleeding, or discharge, often following trauma or infection.
Ensure that all findings are documented clearly to support the diagnosis and any surgical interventions.
Comprehensive patient history, including any recent illnesses or injuries, and a thorough examination of the ear.
Patients with acute ear pain and bleeding, often referred to specialists for further evaluation.
Documenting the rationale for referral to specialists can aid in coding and billing.
Often performed when bleeding is associated with cerumen impaction.
Document the reason for cerumen removal and any findings during the procedure.
Otolaryngologists may perform this procedure in conjunction with other evaluations.
Otorrhagia can be caused by various factors, including trauma, infections, or neoplastic processes affecting the ear. A thorough evaluation is necessary to determine the underlying cause.