Otorrhagia, bilateral
ICD-10 H92.23 is a billable code used to indicate a diagnosis of otorrhagia, bilateral.
Otorrhagia, or ear bleeding, is a clinical condition characterized by the presence of blood in the ear canal, which can occur unilaterally or bilaterally. Bilateral otorrhagia may arise from various etiologies, including trauma, infections such as otitis media, or neoplastic processes. The clinical presentation often includes a history of ear pain, hearing loss, or a sensation of fullness in the ears. In cases of otitis media, patients may also present with fever and irritability. Diagnostic criteria typically involve a thorough otoscopic examination to identify the source of bleeding, which may include perforation of the tympanic membrane or vascular lesions. Management strategies depend on the underlying cause; for instance, if otorrhagia is due to an infection, appropriate antibiotic therapy may be initiated, while surgical intervention may be necessary for traumatic injuries or neoplasms. Accurate coding of otorrhagia is crucial for proper reimbursement and clinical management, necessitating detailed documentation of the clinical findings and treatment provided.
Detailed notes on the patient's history, physical examination findings, and any diagnostic imaging results.
Patients presenting with ear trauma, recurrent otitis media, or neoplastic growths in the ear.
Ensure that all relevant symptoms and potential complications are documented to support the diagnosis.
Comprehensive history including developmental milestones and any previous ear infections.
Children with recurrent ear infections leading to otorrhagia.
Consider age-related factors and family history of ear conditions.
When cerumen impaction leads to otorrhagia.
Document the reason for cerumen removal and any associated symptoms.
Otolaryngologists should note the relationship between cerumen impaction and otorrhagia.
Common causes include trauma, infections like otitis media, and neoplastic conditions affecting the ear. Each cause requires specific diagnostic and management approaches.
