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v1.0.0
ICD-10 Guide
ICD-10 CodesH92.22

H92.22

Billable

Otorrhagia, left ear

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

Code Description

ICD-10 H92.22 is a billable code used to indicate a diagnosis of otorrhagia, left ear.

Key Diagnostic Point:

Otorrhagia, or ear bleeding, specifically in the left ear, can arise from various underlying conditions affecting the ear and mastoid process. Common causes include trauma, infections such as otitis media, or neoplastic processes. Patients may present with symptoms such as ear pain, hearing loss, or a sensation of fullness in the ear. The bleeding may be accompanied by other symptoms like fever or drainage, depending on the underlying cause. Diagnostic evaluation typically involves a thorough history and physical examination, otoscopic examination, and possibly imaging studies to assess for structural abnormalities or infections. Management may include addressing the underlying cause, such as antibiotics for infections or surgical intervention for more severe conditions. Accurate coding is essential for proper reimbursement and tracking of healthcare outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of ear bleeding
  • Identifying the underlying cause of otorrhagia
  • Potential for co-existing conditions affecting coding
  • Variability in clinical presentation and documentation

Audit Risk Factors

  • Inadequate documentation of the cause of bleeding
  • Failure to specify the side of the ear affected
  • Misclassification of the severity of the condition
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Detailed history of symptoms, physical examination findings, and any imaging results.

Common Clinical Scenarios

Patients presenting with ear pain and bleeding, often following trauma or infection.

Billing Considerations

Ensure documentation specifies the cause of otorrhagia and any associated symptoms.

Primary Care

Documentation Requirements

Comprehensive patient history, including any recent infections or injuries.

Common Clinical Scenarios

Initial evaluation of patients with ear complaints, including bleeding.

Billing Considerations

Document any referrals to specialists and follow-up care provided.

Coding Guidelines

Inclusion Criteria

Use H92.22 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the condition's specifics, including laterality and any associated diagnoses
  • Include relevant clinical findings and treatment plans

Exclusion Criteria

Do NOT use H92.22 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

69210CPT Code

Removal of impacted cerumen

Clinical Scenario

Often performed when otorrhagia is due to cerumen impaction.

Documentation Requirements

Document the reason for cerumen removal and any associated symptoms.

Specialty Considerations

Otolaryngologists may perform this procedure in conjunction with other evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like otorrhagia, improving the granularity of data collected for healthcare outcomes and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like otorrhagia, improving the granularity of data collected for healthcare outcomes and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 are the common causes of otorrhagia?

Common causes include trauma, infections like otitis media, and neoplastic processes. Each cause may present with different accompanying symptoms.