H70.813
Postauricular fistula, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
A bilateral postauricular fistula is a rare condition where abnormal openings occur behind both ears, connecting the skin to the middle ear or mastoid bone. This condition can result from infections, surgeries, or other factors that cause abnormal tissue formation. Recognizing and understanding this condition is essential for proper management and treatment.
Causes & Symptoms
Clinical Causes: Previous ear infections, particularly otitis media, leading to tissue breakdown History of ear surgeries or mastoid procedures Chronic pressure or trauma behind the ears Congenital anomalies that affect the skin or middle ear structures Malignancies affecting the skin or middle ear regions Infections that cause abscess formation and drainage pathways
Key Symptoms: Visible openings or small fistulous tracts behind the ears Discharge from the fistula, which may be pus or serous fluid Swelling or induration behind the ears Recurrent or persistent ear infections Possible pain or tenderness in the area Hearing difficulties if the middle ear is involved Signs of infection such as redness, warmth, or fever
Diagnostic & Treatment
Diagnosis Path: Diagnosis of bilateral postauricular fistula involves a combination of clinical examination and diagnostic tests, which may include:
Treatment Protocols: Management of bilateral postauricular fistula typically involves a multidisciplinary approach, aimed at eradication of infection, closure of the fistula, and prevention of recurrence. Treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is H70.813 a billable ICD-10 code?
Yes, H70.813 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report H70.813?
Clinical documentation must specify the nature of Postauricular fistula, bilateral and any associated comorbidities for accurate reporting.
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