H65.111
Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
Clinical Classification Guidelines
Medical Intelligence & Overview
ICD-10 code H65.111 refers to a specific type of ear condition known as acute and subacute allergic otitis media affecting the right ear. Otitis media is an inflammation or infection of the middle ear, and the term 'allergic' indicates that this inflammation results from an allergic response rather than a bacterial or viral infection. This condition can involve different types of fluid build-up within the middle ear, including mucoid (thick mucus), sanguinous (bloody), or serous (clear or watery) fluids. It affects many individuals at different ages and can be both painful and disruptive to hearing.
Causes & Symptoms
Clinical Causes: Allergic reactions to airborne allergens such as pollen, dust mites, pet dander, or mold. Eczema or other allergic skin conditions that increase susceptibility. Upper respiratory allergies that cause swelling of the nasal passages and eustachian tube dysfunction. Environmental triggers including cigarette smoke or pollution. Repeated exposure to allergens that lead to persistent inflammation.
Key Symptoms: A sensation of fullness or pressure in the right ear. Hearing difficulties or muffled hearing in the affected ear. Ear pain or discomfort, which may vary in intensity. Fluid drainage from the ear, potentially appearing mucoid, bloody, or watery. A feeling of imbalance or dizziness in some cases. Possible ringing or buzzing sounds (tinnitus). In cases of severe allergic response, symptoms like fever or general malaise may also appear.
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of medical history review, physical examination of the ear, and assessment of symptoms. An otoscope—a tool with a light—is used to visualize the tympanic membrane (eardrum) to look for signs of fluid build-up, redness, or structural changes. In some cases, hearing tests or tympanometry (a test of middle ear function) may be performed to evaluate the extent of hearing impairment and middle ear status. The healthcare professional will also review any history of allergies or related conditions to support the diagnosis.
Treatment Protocols: Management of allergic otitis media focuses on controlling the allergic response and alleviating symptoms. Treatment options may include:
Clinical Advice & FAQs
Billing Guidance
Is H65.111 a billable ICD-10 code?
Yes, H65.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H65.111?
Clinical documentation must specify the nature of Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear and any associated comorbidities for accurate reporting.
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