Acute suppr otitis media w spon rupt ear drum, bilateral

This code signifies an acute bacterial infection of the middle ear, affecting both ears, that has progressed to the point of spontaneous perforation of the tympanic membrane. The "suppurative" aspect indicates the presence of pus or purulent discharge.

Apply this code when documentation confirms a bilateral acute otitis media with evidence of pus and a non-traumatic, self-occurring rupture of both eardrums. Look for physician notes detailing otoscopic findings of perforation and purulent otorrhea in both ears, along with symptoms consistent with acute infection.

• Ensure documentation explicitly states "bilateral" and "spontaneous rupture" for accurate code assignment.
• Distinguish from traumatic perforations, which are coded differently.
• Do not use if the rupture was surgically induced (e.g., myringotomy).