H73.813
Atrophic flaccid tympanic membrane, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
The atrophic flaccid tympanic membrane, also known as a thinned and relaxed eardrum, is a condition affecting the membranes of the middle ear. When bilateral, it involves both ears, which can influence hearing and ear health. This condition often results from chronic ear issues and can impact the ear's ability to protect against infections and transmit sound effectively.
Causes & Symptoms
Clinical Causes: Chronic Otitis Media: Long-standing middle ear infections can lead to damage and thinning of the tympanic membrane. Repeated Ear Infections: Frequent middle ear infections can weaken and atrophy the membrane over time. Previous Ear Surgery: Surgical procedures may alter the structure and integrity of the tympanic membrane. Eustachian Tube Dysfunction: Poor function can cause negative pressure and contribute to membrane atrophy. Aging: Degenerative changes in the ear tissues associated with aging may predispose to thinning membranes. Trauma or Injury: Physical injury to the ear can damage the membrane, leading to atrophy over time.
Key Symptoms: Hearing Loss: A common symptom due to the membrane’s altered ability to transmit sound. Painless Ear Fullness: A sensation of fullness or pressure in the ear without significant pain. Tinnitus: Ringing or buzzing sounds in the affected ear(s). Occasional Ear Discharge: Minor fluid or discharge may occur if secondary infections develop. Susceptibility to Ear Infections: The weakened membrane can make the ear more prone to infections. No Symptoms: Some individuals may experience no noticeable symptoms, especially if the condition is mild.
Diagnostic & Treatment
Diagnosis Path: Healthcare providers diagnose this condition through a combination of medical history, physical examination, and audiologic testing. Otoscopy reveals a thin, flaccid, often pale or retracted tympanic membrane. Audiometry tests may assess the degree of hearing loss. Sometimes, tympanometry is performed to evaluate middle ear function. In uncertain cases, imaging studies like CT scans can help rule out other underlying issues.
Treatment Protocols: Management focuses on monitoring and addressing symptoms or underlying causes. Specific treatments include:
Clinical Advice & FAQs
Billing Guidance
Is H73.813 a billable ICD-10 code?
Yes, H73.813 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H73.813?
Clinical documentation must specify the nature of Atrophic flaccid tympanic membrane, bilateral and any associated comorbidities for accurate reporting.
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