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
Diseases of the middle ear and mastoid
Covers various middle ear and mastoid inflammations, including otitis media.
Diseases of the ear and mastoid process
Encompasses a broader range of ear conditions, including otitis media.
Diseases of the respiratory system
May include otitis media as a complication of respiratory infections.
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?
When to use each related code
Description |
---|
Left ear infection |
Left ear fluid buildup |
Left ear drum rupture |
Incorrectly coding right ear (H66.901) or unspecified ear (H66.90) instead of left ear (H66.92). Impacts reimbursement and data accuracy.
Coding Otitis Media NOS (H66.90) when a more specific diagnosis like acute (H66.91) or chronic (H66.92) is documented. Loss of revenue.
Miscoding Otitis Media with Effusion (H65.92) as Acute Otitis Media (H66.91) due to similar symptoms. Incorrect treatment and coding.
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.