Acute suppr otitis media w spon rupt ear drum, recurrent, bi

This code signifies an active bacterial infection of the middle ear that has led to a spontaneous perforation of both eardrums. The "recurrent" aspect indicates that the patient has experienced previous episodes of this specific condition. This is an acute, purulent process affecting both ears.

Use this code when documentation clearly states acute suppurative otitis media with spontaneous tympanic membrane rupture occurring bilaterally and identifies the condition as recurrent. This typically follows a history of similar infections and perforations. Physician notes should specify the acute nature, the presence of pus, and the bilateral involvement.

• Ensure documentation specifies "spontaneous rupture" versus a traumatic or iatrogenic perforation.
• Confirm the "recurrent" nature is explicitly stated or clearly implied by the patient's history in the medical record.
• Distinguish from chronic suppurative otitis media (H66.3-) or other forms of otitis media without rupture.