H60.513 Acute actinic otitis externa, bilateral

ICD10CM code

#### Name of the Condition
- Acute actinic otitis externa, bilateral
- Sunburned ear inflammation

#### Summary
Acute actinic otitis externa, bilateral, is an inflammation of the outer ear canal caused by exposure to ultraviolet (UV) radiation from the sun, affecting both ears simultaneously. This condition is akin to getting a sunburn on the sensitive skin inside your ear canals, leading to discomfort and inflammation.

#### Causes
The primary cause of acute actinic otitis externa is prolonged exposure of the ear canals to direct sunlight or artificial UV light, often without adequate protection.

#### Risk Factors
- Spending extended periods outdoors in sunny conditions.
- Not using sunscreen or protective clothing around the ears while out in the sun.
- Light skin tones that burn easily.
- Participation in outdoor activities or sports without ear protection.

#### Symptoms
- Redness and swelling in and around the ear canal.
- Pain or tenderness, especially when touching or moving the ear.
- Itching in the ears.
- Possible discharge or flakiness in severe cases.

#### Diagnosis
- Physical examination of the ears by a healthcare provider.
- Assessment of recent sun exposure history.

#### Treatment Options
- Application of topical corticosteroids to reduce inflammation.
- Over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage discomfort.
- Cool compresses to soothe the affected area.
- Aloe vera gel or moisturizing creams to aid in healing and relieve irritation.

#### Prognosis and Follow-Up
With appropriate treatment, symptoms typically resolve without long-term effects. However, follow-up may be necessary to ensure healing and to discuss sun protection strategies.

#### Complications
- Potential for infection if the ear canal skin becomes cracked or blistered.
- Chronic discomfort if similar sun exposure continues without preventive measures.

#### Lifestyle & Prevention
- Use broad-spectrum sunscreen on and around the ears.
- Wear a wide-brimmed hat or use an umbrella for shade.
- Refrain from excessive sun exposure, especially during peak UV radiation hours.
- Protective water-repellent ear sprays or earplugs during water activities.

#### When to Seek Professional Help
- Severe pain or swelling.
- Symptoms of infection, such as increased redness, discharge, or fever.
- No improvement within a few days of self-care measures.

#### Additional Resources
- [American Academy of Dermatology](https://www.aad.org)
- [Skin Cancer Foundation](https://www.skincancer.org)

#### Tips for Medical Coders
- Ensure correct bilateral notation is used: H60.513.
- Verify if other conditions, such as infections, are present and need additional coding.
- Be mindful of detailed documentation indicating sun exposure as the specific cause to differentiate from other types of otitis externa.

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