ICD-10 Coding for Acute Mucoid Otitis Media, Right Ear(H65.191, H65.111)
Complete ICD-10-CM coding and documentation guide for Acute Mucoid Otitis Media, Right Ear. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Acute Mucoid Otitis Media, Right Ear
H65-H67Primary Range
Nonsuppurative otitis media
This range includes all types of nonsuppurative otitis media, including mucoid otitis media.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| H65.191 | Other acute nonsuppurative otitis media, right ear | Use when acute mucoid otitis media is diagnosed without an allergic cause. |
|
| H65.111 | Acute and subacute allergic otitis media [mucoid], right ear | Use when mucoid otitis media is linked to an allergic cause. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for acute mucoid otitis media right ear
Essential facts and insights about Acute Mucoid Otitis Media, Right Ear
Primary ICD-10-CM Codes for acute mucoid otitis media of right ear
Decision Criteria
clinical Criteria
- Presence of thick, glue-like effusion without allergic symptoms
documentation Criteria
- Explicit mention of 'acute mucoid otitis media, right ear'
Applicable To
- Acute mucoid otitis media without allergic etiology
Excludes
- Acute allergic mucoid otitis media (H65.111)
Clinical Validation Requirements
- Thick, glue-like mucoid effusion observed via otoscopy
- Type B tympanogram indicating middle ear effusion
Code-Specific Risks
- Misclassification if allergy is not ruled out
Coding Notes
- Ensure documentation specifies 'mucoid' and 'right ear' to avoid unspecified coding.
H65.111 - Acute and subacute allergic otitis media [mucoid], right ear
Use when mucoid otitis media is linked to an allergic cause.
Applicable To
- Mucoid otitis media with documented allergic component
Excludes
- Non-allergic mucoid otitis media (H65.191)
Clinical Validation Requirements
- Mucoid effusion with documented allergy (e.g., pollen, food allergies)
Coding Notes
Document the specific allergen causing the condition.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Central perforation of tympanic membrane
H72.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Acute Mucoid Otitis Media, Right Ear to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code H65.191.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to unspecified coding.
Mitigation Strategy
Always document the affected ear., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies 'mucoid' and 'right ear' to use H65.191 or H65.111.
Impact
Using unspecified codes when specific ones are available.
Mitigation Strategy
Ensure thorough documentation of clinical findings and laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Acute Mucoid Otitis Media, Right Ear, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Acute Mucoid Otitis Media, Right Ear
Use these documentation templates to ensure complete and accurate documentation for Acute Mucoid Otitis Media, Right Ear. These templates include all required elements for proper coding and billing.
Pediatric patient with acute mucoid otitis media
Specialty: PediatricsRequired Elements
- Patient age and symptoms
- Otoscopy findings
- Tympanometry results
- Allergy status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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