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Ear pain (or otalgia) ranks as one of the leading complaints among children and adult evaluated in the primary care or emergency setting. Most patients will have one of three common diagnoses (acute otitis media [AOM], otitis externa, or otitis media with effusion [OME]), which are generally not serious.

ICD-10 Codes for ear pain | Earache

icd-10 codes for ear pain, earache

Ear pain (or otalgia) ranks as one of the leading complaints among children and adult evaluated in the primary care or emergency setting. Most patients will have one of three common diagnoses (acute otitis media [AOM], otitis externa, or otitis media with effusion [OME]), which are generally not serious. The rare cases of more serious disease associated with ear pain usually result from extension of ear infection to adjacent anatomic structures (eg, mastoiditis, meningitis, malignant otitis externa, venous sinus thrombosis). Basilar skull fracture or epidural hematoma after head trauma may also present with ear pain.

EARACHE TREATMENT AND DIAGNOSIS

The first step in evaluating otalgia includes a comprehensive history and physical examination. Evaluation should exclude red flags and risk factors for a serious diagnosis. If found, then head & neck CT and MRI, panendoscopy, including nasolaryngoscopy and direct visualization of the upper aerodigestive tract, can be ordered. Gastrointestinal red flags should prompt a barium swallow or referral to gastroenterology for esophagogastroduodenoscopy (EGD). Chest pain and cardiac risk factors should prompt a full cardiac work-up. Clinical signs of temporal arteritis should prompt an ESR. An ESR greater than 50mm per hour indicates the need for an urgent referral to ophthalmology and otolaryngology. Treatment of otalgia is dependent on the diagnosis. Infections cause most primary otalgia and are treated with antibiotics, while mechanical receive treatment with decongestants, nasal steroids, or myringotomy. Secondary causes include a wide variety of diagnoses. One notable management point is the need for urgent referral and steroid treatment for temporal arteritis, a rare cause of secondary otalgia. Therapy otherwise addresses the underlying medical condition, such as malignancy, dental caries, temporomandibular joint disease, coronary artery disease, or gastroesophageal reflux. Patients who have an unremarkable clinical evaluation and no red flags or risk factors for serious disease can be treated conservatively with analgesics and re-evaluated in 4 weeks.

ICD-10 CODES FOR EAR PAIN / earache

CodesCode Description
H65.00Acute serous otitis media, unspecified ear
H65.199Other acute nonsuppurative otitis media, unspecified ear
H65.30Chronic mucoid otitis media, unspecified ear
H65.419Chronic allergic otitis media, unspecified ear
H67.9Otitis media in diseases classified elsewhere, unspecified ear
H65.01Acute serous otitis media, right ear
H65.02Acute serous otitis media, left ear
H65.03Acute serous otitis media, bilateral
H65.04Acute serous otitis media, recurrent, right ear
H65.05Acute serous otitis media, recurrent, left ear
H65.06Acute serous otitis media, recurrent, bilateral
H65.07Acute serous otitis media, recurrent, unspecified ear
H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear
H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
H65.191Other acute nonsuppurative otitis media, right ear
H65.192Other acute nonsuppurative otitis media, left ear
H65.193Other acute nonsuppurative otitis media, bilateral
H65.194Other acute nonsuppurative otitis media, recurrent, right ear
H65.195Other acute nonsuppurative otitis media, recurrent, left ear
H65.196Other acute nonsuppurative otitis media, recurrent, bilateral
H65.197Other acute nonsuppurative otitis media recurrent, unspecified ear
H65.20Chronic serous otitis media, unspecified ear
H65.21Chronic serous otitis media, right ear
H65.22Chronic serous otitis media, left ear
H65.23Chronic serous otitis media, bilateral
H65.31Chronic mucoid otitis media, right ear
H65.32Chronic mucoid otitis media, left ear
H65.33Chronic mucoid otitis media, bilateral
H65.411Chronic allergic otitis media, right ear
H65.412Chronic allergic otitis media, left ear
H65.413Chronic allergic otitis media, bilateral
H65.491Other chronic nonsuppurative otitis media, right ear
H65.492Other chronic nonsuppurative otitis media, left ear
H65.493Other chronic nonsuppurative otitis media, bilateral
H65.499Other chronic nonsuppurative otitis media, unspecified ear
H65.90Unspecified nonsuppurative otitis media, unspecified ear
H65.91Unspecified nonsuppurative otitis media, right ear
H65.92Unspecified nonsuppurative otitis media, left ear
H65.93Unspecified nonsuppurative otitis media, bilateral
H66.001Acute suppurative otitis media without spontaneous rupture of eardrum, right ear
H66.002Acute suppurative otitis media without spontaneous rupture of eardrum, left ear
H66.003Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral
H66.004Acute suppurative otitis media without spontaneous rupture of eardrum, recurrent, right ear
H66.005Acute suppurative otitis media without spontaneous rupture of eardrum, recurrent, left ear
H66.006Acute suppurative otitis media without spontaneous rupture of eardrum, recurrent, bilateral
H66.007Acute suppurative otitis media without spontaneous rupture of eardrum, recurrent, unspecified ear
H66.009Acute suppurative otitis media without spontaneous rupture of eardrum, unspecified ear
H66.011Acute suppurative otitis media with spontaneous rupture of eardrum, right ear
H66.012Acute suppurative otitis media with spontaneous rupture of eardrum, left ear
H66.013Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral
H66.014Acute suppurative otitis media with spontaneous rupture of eardrum, recurrent, right ear
H66.015Acute suppurative otitis media with spontaneous rupture of eardrum, recurrent, left ear
H66.016Acute suppurative otitis media with spontaneous rupture of eardrum, recurrent, bilateral
H66.017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear
H66.019Acute suppurative otitis media with spontaneous rupture of eardrum, unspecified ear
H66.10Chronic tubotympanic suppurative otitis media, unspecified
H66.11Chronic tubotympanic suppurative otitis media, right ear
H66.12Chronic tubotympanic suppurative otitis media, left ear
H66.13Chronic tubotympanic suppurative otitis media, bilateral
H66.20Chronic atticoantral suppurative otitis media, unspecified ear
H66.21Chronic atticoantral suppurative otitis media, right ear
H66.22Chronic atticoantral suppurative otitis media, left ear
H66.23Chronic atticoantral suppurative otitis media, bilateral
H66.3X1Other chronic suppurative otitis media, right ear
H66.3X2Other chronic suppurative otitis media, left ear
H66.3X3Other chronic suppurative otitis media, bilateral
H66.3X9Other chronic suppurative otitis media, unspecified ear
H66.40Suppurative otitis media, unspecified, unspecified ear
H66.41Suppurative otitis media, unspecified, right ear
H66.42Suppurative otitis media, unspecified, left ear
H66.43Suppurative otitis media, unspecified, bilateral
H66.90Otitis media, unspecified, unspecified ear
H66.91Otitis media, unspecified, right ear
H66.92Otitis media, unspecified, left ear
H66.93Otitis media, unspecified, bilateral
H67.1Otitis media in diseases classified elsewhere, right ear
H67.2Otitis media in diseases classified elsewhere, left ear
H67.3Otitis media in diseases classified elsewhere, bilateral

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