H92.13 Otorrhea, bilateral

ICD10CM code

#### Name of the Condition
- **Otorrhea, Bilateral**
- Commonly referred to as ear drainage or discharge from both ears.

#### Summary
Otorrhea, bilateral, is a condition characterized by the discharge of fluid from both ears. This may include earwax, pus, or blood and can result from various underlying issues, including infections, trauma, or chronic ear conditions.

#### Causes
- **Infections**: Such as bacterial or fungal infections like otitis externa or otitis media.
- **Trauma**: Injury to the ear canal or eardrum.
- **Chronic Conditions**: Such as cholesteatoma or mastoiditis.

#### Risk Factors
- **Age**: Particularly prevalent in children due to the anatomy of their ear structures.
- **Frequent Swimming**: Increased exposure to water can lead to ear infections.
- **History of Ear Infections**: Previous occurrences can increase susceptibility.
- **Environmental Factors**: Exposure to polluted or allergen-rich environments.

#### Symptoms
- Fluid discharge from both ears.
- Itching or irritation in the ear canal.
- Hearing loss or reduced hearing capabilities.
- Ear pain or discomfort.
- Foul-smelling discharge.

#### Diagnosis
- **Physical Examination**: Visual inspection of the ear canal and eardrum.
- **Otoscopy**: Tool for examining the inside of the ear.
- **Culture Test**: To identify potential bacterial or fungal causes.

#### Treatment Options
- **Medications**: Antibiotic or antifungal ear drops for infections.
- **Ear Cleaning**: Professional cleaning to remove excess wax or debris.
- **Surgery**: In severe cases, procedures to repair the eardrum or remove obstructions.

#### Prognosis and Follow-Up
- With proper treatment, symptoms often resolve without long-term effects.
- Regular follow-ups ensure the condition is fully resolved and prevent recurrence.

#### Complications
- **Untreated Infections**: Can lead to hearing loss or the spread of infection.
- **Persistent Drainage**: May indicate a more serious underlying condition.

#### Lifestyle & Prevention
- Keep ears dry, especially after swimming or bathing.
- Avoid inserting objects into the ears.
- Manage allergies and sinus issues promptly.

#### When to Seek Professional Help
- Persistent or severe ear pain.
- Discharge that is bloody or foul-smelling.
- Hearing loss or changes in hearing.

#### Additional Resources
- [American Academy of Otolaryngology](https://www.entnet.org)
- [National Institute on Deafness and Other Communication Disorders](https://www.nidcd.nih.gov)

#### Tips for Medical Coders
- Ensure both ears (bilateral) are affected before using **ICD-10 code H92.13**.
- Verify coding accuracy by reviewing the patient's history and examination notes to confirm bilateral symptoms.
- Avoid assuming bilateral otorrhea based on symptoms of unilateral ear conditions unless clearly documented.

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