Acute suppr otitis media w/o spon rupt ear drum, right ear

This code signifies an acute bacterial infection of the middle ear in the right ear, characterized by pus formation (suppurative) and inflammation, where the tympanic membrane remains intact without any perforation. It represents an active, sudden-onset infection requiring medical intervention.

Apply this code when documentation clearly indicates acute otitis media with purulent effusion in the right ear, and specifically states that there is no spontaneous rupture or perforation of the tympanic membrane. This is typically diagnosed based on otoscopic examination showing a bulging, erythematous tympanic membrane with impaired mobility, and clinical symptoms such as otalgia, fever, and hearing loss.

• Ensure laterality (right ear) is explicitly documented.
• Distinguish from chronic otitis media or otitis media with effusion (serous or mucoid), which have different codes.
• Verify the absence of tympanic membrane rupture; if ruptured, a different code is required.