Chronic atticoantral disease; code for any associated perforated tympanic membrane (H72.-) code for any associated perforated tympanic membrane ( H72.-)
Otitis media, unspecified, unspecified ear. H66.90 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Perforation of tympanic membrane H72- >. A temporary or persistent opening in the eardrum (tympanic membrane). Clinical signs depend on the size, location, and associated pathological condition.
H65-H75Diseases of middle ear and mastoid H66-Suppurative and unspecified otitis media 2022 ICD-10-CM Diagnosis Code H66.4 2022 ICD-10-CM Diagnosis Code H66.4 Suppurative otitis media, unspecified 2016201720182019202020212022Non-Billable/Non-Specific Code
Unspecified disorder of tympanic membrane, bilateral The 2022 edition of ICD-10-CM H73. 93 became effective on October 1, 2021. This is the American ICD-10-CM version of H73.
Information: A central perforation is a perforation in the pars tensa that leaves an intact portion of the tympanic membrane between the rim of the perforation and the bony canal. The fibrous annulus, the tickened portion of the TM near the bony canal, is also intact.
DEFINITION Acute otitis media (AOM) is an acute, suppurative infectious process marked by the presence of infected middle ear fluid and inflammation of the mucosa lining the middle ear space (picture 1).
The type of perforation seen were central 57.6%, subtotal 33.3%, total 6.1%, marginal 3.0%. The sides affected were left ear 45.5%, right ear 15.2%, and both ears 39.4%. The causes found were chronic suppurative otitis media (CSOM) 90.9%, acute suppurative otitis media (ASOM) 6.1%, and trauma to the affected ear 3.0%.
In other cases, frequent ear infections can cause a tympanic membrane perforation. During a middle ear infection (otitis media), pressure from pus under the tympanic membrane sometimes produces a small hole in the tympanic membrane. This is the body's natural way of draining the pus and getting it out of the ear.
Symptoms include sudden ear pain, or sudden decrease in ear pain, discharge (which may be bloody) or hearing loss. The vast majority of ruptured eardrums will heal without treatment. A simple perforation of the ear drum as part of acute otitis media does NOT need referral unless it persists > 6 weeks.
BACKGROUND Tympanic membrane perforations are common and can be categorised into either acute or chronic. Acute perforations are usually traumatic or inflammatory in origin and heal spontaneously. Chronic perforations may be associated with underlying progressive disease.
Infection is the principal cause of tympanic membrane perforation (TMP). Acute infection of the middle ear may cause a relative ischemia in the drum concurrent with increased pressure in the middle ear space. This leads to a tear or rupture of the eardrum that is usually preceded by severe pain.
Bilateral acute otitis media (AOM) is considered more severe than unilateral AOM, and several guidelines recommend more active management of bilateral AOM. However, severity of symptoms and otoscopic signs of bilateral and unilateral AOM have previously not been comprehensively studied.
A normal TM is a translucent pale gray. An opaque yellow or blue TM is consistent with MEE. Dark red indicates a recent trauma or blood behind the TM. A dark pink or lighter red TM is consistent with AOM or hyperemia of the TM caused by crying, coughing, or nose blowing.
Clinical Information. A disorder characterized by inflammation (physiologic response to irritation), swelling and redness to the middle ear. An acute or chronic inflammatory process affecting the middle ear.
The 2022 edition of ICD-10-CM H66.90 became effective on October 1, 2021.
code for any associated perforated tympanic membrane (H72.-
Suppurative otitis media, unspecified 1 H60-H95#N#2021 ICD-10-CM Range H60-H95#N#Diseases of the ear and mastoid process#N#Note#N#Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition#N#Type 2 Excludes#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#Diseases of the ear and mastoid process 2 H66#N#ICD-10-CM Diagnosis Code H66#N#Suppurative and unspecified otitis media#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Includes#N#suppurative and unspecified otitis media with myringitis#N#Use Additional#N#code to identify:#N#exposure to environmental tobacco smoke ( Z77.22)#N#exposure to tobacco smoke in the perinatal period ( P96.81)#N#history of tobacco dependence ( Z87.891)#N#occupational exposure to environmental tobacco smoke ( Z57.31)#N#tobacco dependence ( F17.-)#N#tobacco use ( Z72.0)#N#Suppurative and unspecified otitis media
The 2022 edition of ICD-10-CM H66.4became effective on October 1, 2021.
exposure to tobacco smoke in the perinatal period (P96.81)
code for any associated perforated tympanic membrane ( H72.-)
Chronic tubotympanic suppurative otitis media 1 H60-H95#N#2021 ICD-10-CM Range H60-H95#N#Diseases of the ear and mastoid process#N#Note#N#Use an external cause code following the code for the ear condition, if applicable, to identify the cause of the ear condition#N#Type 2 Excludes#N#certain conditions originating in the perinatal period ( P04 - P96)#N#certain infectious and parasitic diseases ( A00-B99)#N#complications of pregnancy, childbirth and the puerperium ( O00-O9A)#N#congenital malformations, deformations and chromosomal abnormalities ( Q00-Q99)#N#endocrine, nutritional and metabolic diseases ( E00 - E88)#N#injury, poisoning and certain other consequences of external causes ( S00-T88)#N#neoplasms ( C00-D49)#N#symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94)#N#Diseases of the ear and mastoid process 2 H66#N#ICD-10-CM Diagnosis Code H66#N#Suppurative and unspecified otitis media#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Includes#N#suppurative and unspecified otitis media with myringitis#N#Use Additional#N#code to identify:#N#exposure to environmental tobacco smoke ( Z77.22)#N#exposure to tobacco smoke in the perinatal period ( P96.81)#N#history of tobacco dependence ( Z87.891)#N#occupational exposure to environmental tobacco smoke ( Z57.31)#N#tobacco dependence ( F17.-)#N#tobacco use ( Z72.0)#N#Suppurative and unspecified otitis media
The 2022 edition of ICD-10-CM H66.1 became effective on October 1, 2021.
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
ICD Code H72 is a non-billable code. To code a diagnosis of this type, you must use one of the five child codes of H72 that describes the diagnosis 'perforation of tympanic membrane' in more detail. H72 Perforation of tympanic membrane. NON-BILLABLE.
by trying to clean the ear with sharp instruments), explosion, loud noise or surgery (accidental creation of a rupture). Flying with a severe cold can also cause perforation due to changes in air pressure and blocked eustachian tubes resulting from the cold. This is especially true on landing.
Use a child code to capture more detail. ICD Code H72 is a non-billable code.