Eagle's syndrome is a condition associated with the elongation of the styloid process or calcification of the stylohyoid ligament, clinically characterised by throat and neck pain, radiating into the ear.
Can you offer any suggestions on coding? Answer: There is no specific diagnosis code for Eagle's syndrome, which means you'll code based on the patient's presenting symptoms. These could include facial pain (784.0), throat pain (784.1), neck pain (723.1) and dysphasia (784.5).
The condition is named after an ear, nose and throat specialist called Watt Weems Eagle (Duke University in North Carolina, USA) who first described it in 1937. Another term used to describe the condition is stylohyoid syndrome.
When coding for shortening of the styloid process use CPT code 21499 Unlisted musculoskeletal procedure, head.
ICD-10 code M85. 80 for Other specified disorders of bone density and structure, unspecified site is a medical classification as listed by WHO under the range - Osteopathies and chondropathies .
temporal boneStyloid process is derived from the Greek word stylos, meaning a pillar. The structure is a long, cylindrical, cartilaginous bone located on the inferior aspect of temporal bone, posterior to the mastoid apex, anteromedial to the stylomastoid foramen, and lateral to the jugular foramen and carotid canal.
Eagle Syndrome / Styloid Syndrome Watt Weems Eagle an Otolaryngologist (ENT doctor) in 1937. The hallmark finding in Eagle Syndrome is the presence of an elongated styloid process and or the calcification of the stylohyoid ligament. The styloid process is normally between 2.5-3.0 cm in length.
Cause. Eagle syndrome occurs due to elongation of the styloid process or calcification of the stylohyoid ligament. However, the cause of the elongation hasn't been known clearly. It could occur spontaneously or could arise since birth.
Eagle's syndrome is an uncommon condition resulting from an elongated styloid process, which causes cervico facial pain, tinnitus and otalgia. A 48-year-old female presented to the clinic with bilateral upper neck pain radiating to the ears with tinnitus for almost one-year duration.
The styloid process of the temporal bone is an elongated, conical projection that lies anterior to the mastoid process. In the neck, it is situated between the internal and external carotid arteries and is lateral to the tonsillar fossa.
The styloid process is a slender pointed piece of bone just below the ear. It projects down and forward from the inferior surface of the temporal bone, and serves as an anchor point for several muscles associated with the tongue and larynx.
Surgical treatment of Eagle's syndrome includes styloidectomy (removal of the elongated portion of the styloid process). Mupparapu and Robinson (2005) stated that Eagle's syndrome refers to pain and discomfort in the cervico-facial region resulting specifically from the elongated styloid process. Surgical shortening may be the only treatment that will alleviate the patient's symptoms.
Symptoms of Ernest syndrome, in decreasing order of occurrence, are: temporo-mandibular joint and temporal pain, ear and mandibular pain, posterior tooth sensitivity, eye pain, and throat pain (especially when swallowing). Treatment of Ernest syndrome, which is successful about 80 % of the time, includes a soft diet, use of an intra-oral splint, physiotherapy, medication and injections of local anesthetics at the insertion of the ligament.
A: Eagle’s Syndrome is a condition caused by an elongated styloid process or calcified stylohyoid ligament. Symptoms may include dull pain of the throat, neck and face, dysphagia, and foreign body sensation of the throat. Treatment of this syndrome is usually done by surgically shortening the styloid process (typically transorally) ...
As there is no specific ICD-9 code for the syndrome, it is best to code for symptoms presented by the patient. They are typically facial pain (784.0), throat pain (784.1), neck pain (723.1), and dysphasia (784.5). Other options may include other disorders of muscle, ligament, and fascia (728.89).
Another potential option is M89.8X8 (other specific disorders of bone, unspecified site). When coding for shortening of the styloid process use CPT code 21499 Unlisted musculoskeletal procedure, head. Make sure your operative note clearly details the procedure performed.
A: No. It has come to the Academy’s attention that otolaryngologists are reporting CPT code 92270 Electro- oculography with interpretation and report to describe saccadic testing during an ENG or VNG procedure. To follow the American Medical Association’s Current Procedural Terminology (CPT®) guidelines, providers should only use this code to document a standard test of the electrical potential created in a retina when exposed to light for the diagnosing of best vitelliform maculopathy.
Cause. Eagle syndrome occurs due to elongation of the styloid process or calcification of the stylohyoid ligament. However, the cause of the elongation hasn’t been known clearly. It could occur spontaneously or could arise since birth.
Approximately 4% of the general population have an elongated styloid process, and of these about 4% give rise to the symptoms of Eagle syndrome. Therefore, the incidence of stylohyoid syndrome may be about 0.16%.
Ringing or buzzing in the ears. Classic eagle syndrome is present on only one side, however, rarely, it may be present on both sides. In vascular Eagle syndrome, the elongated styloid process comes in contact with the internal carotid artery below the skull.
The 2022 edition of ICD-10-CM G90.2 became effective on October 1, 2021.
Horners syndrome. Left cervical sympathetic dystrophy. Right cervical sympathetic dystrophy . Clinical Information. A condition in which one side of the face is flushed, does not produce sweat, and has a constricted pupil and drooping eyelid. It can be caused by an injury to, or paralysis of, nerves in the neck, or by a tumor.