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H66.92
ICD-10-CM
Otitis Media Left Ear

Find information on Otitis Media Left Ear diagnosis, including clinical documentation, ICD-10-CM code H66.92, medical coding guidelines, and healthcare resources. Learn about acute otitis media left ear, chronic otitis media left ear, and otitis media with effusion left ear. This resource provides support for accurate medical coding and documentation for otitis media in the left ear. Explore symptoms, treatment, and billing information for left ear otitis media.

Also known as

Middle Ear Infection Left Ear
Left Ear Otitis Media

Diagnosis Snapshot

Key Facts
  • Definition : Middle ear infection (inflammation)
  • Clinical Signs : Ear pain, fever, hearing loss, irritability, fluid drainage
  • Common Settings : Pediatrics, family practice, urgent care

Related ICD-10 Code Ranges

Complete code families applicable to AAPC H66.92 Coding
H65-H66

Diseases of the middle ear and mastoid

Covers various middle ear and mastoid inflammations, including otitis media.

H60-H95

Diseases of the ear and mastoid process

Encompasses a broader range of ear conditions, including otitis media.

J00-J99

Diseases of the respiratory system

May include otitis media as a complication of respiratory infections.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the left otitis media acute?

  • Yes

    With effusion?

  • No

    Is it chronic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left ear infection
Left ear fluid buildup
Left ear drum rupture

Documentation Best Practices

Documentation Checklist
  • Otitis media left ear diagnosis ICD-10
  • Document laterality (left ear) clearly
  • Symptom onset, duration, and character
  • Otoscopic exam findings (e.g., bulging TM)
  • Treatment plan documented (e.g., antibiotics)

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding right ear (H66.901) or unspecified ear (H66.90) instead of left ear (H66.92). Impacts reimbursement and data accuracy.

  • Specificity Undercoding

    Coding Otitis Media NOS (H66.90) when a more specific diagnosis like acute (H66.91) or chronic (H66.92) is documented. Loss of revenue.

  • OME vs AOM Confusion

    Miscoding Otitis Media with Effusion (H65.92) as Acute Otitis Media (H66.91) due to similar symptoms. Incorrect treatment and coding.

Mitigation Tips

Best Practices
  • Document laterality, acuity, symptoms for accurate ICD-10 coding (H66.92).
  • Specify effusion type (serous, purulent) for proper Otitis Media CDI.
  • Validate antibiotic necessity with McIsaac criteria for compliance.
  • Pneumatic otoscopy crucial for diagnosis, document tympanic membrane findings.
  • Detailed history, exam ensure correct coding, avoid medical necessity denials.

Clinical Decision Support

Checklist
  • Verify left ear pain or fullness documented
  • Confirm otoscopic exam shows left TM redness/bulging
  • Check for left ear effusion or otorrhea noted
  • Document fever, irritability, or sleep disturbance if present

Reimbursement and Quality Metrics

Impact Summary
  • Otitis Media Left Ear Reimbursement: ICD-10 H66.92, CPT 99213 (Evaluation and Management), potential impact on RVU and APC assignment.
  • Coding Accuracy Impact: Proper laterality coding (left ear) crucial for accurate reimbursement and avoiding denials.
  • Hospital Reporting Impact: Accurate Otitis Media diagnosis data affects quality metrics related to antibiotic prescribing and treatment efficacy.
  • Quality Metrics Impact: Timely and accurate diagnosis impacts patient outcomes and reduces complications like hearing loss.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code H66.92 for unspecified OM left
  • Document laterality, acuity, symptoms
  • Add effusion code if present H65.02
  • Consider causative organisms for specificity
  • Check for tympanostomy tube codes if applicable

Documentation Templates

Patient presents with left ear pain, otalgia, consistent with acute otitis media.  Symptoms onset reported two days ago and include ear fullness, muffled hearing, and intermittent tinnitus in the left ear.  Patient denies fever, otorrhea, or recent upper respiratory infection.  Otoscopic examination reveals a bulging, erythematous left tympanic membrane with obscured landmarks and decreased mobility.  Right tympanic membrane appears normal.  Diagnosis of acute otitis media left ear is made based on clinical presentation and otoscopic findings.  Treatment plan includes pain management with ibuprofen, observation for spontaneous resolution, and consideration of antibiotic therapy if symptoms persist or worsen.  Differential diagnoses include otitis externa, eustachian tube dysfunction, and cerumen impaction.  Patient education provided regarding potential complications of otitis media such as hearing loss and mastoiditis.  Follow-up scheduled in one week to reassess symptoms and tympanic membrane status.  ICD-10 code H66.90, unspecified otitis media, and CPT code 99213 for office visit level 3 are appropriate for this encounter.  Medical decision making is of low complexity.
Otitis Media Left Ear - AI-Powered ICD-10 Documentation