Chronic tubotympanic suppurative otitis media, right ear

This code signifies a persistent, purulent inflammation of the right middle ear and eustachian tube, characterized by ongoing discharge and often a tympanic membrane perforation. It indicates a long-standing infection affecting the middle ear structures.

Apply this code when documentation clearly indicates chronic suppurative otitis media specifically affecting the right ear, with involvement of the tubotympanic region. This diagnosis is typically supported by findings of persistent otorrhea, a perforated tympanic membrane, and evidence of inflammation lasting more than three months.

• Ensure laterality is explicitly documented as "right ear" to support this specific code.
• Distinguish from acute otitis media or other forms of chronic otitis media (e.g., atticoantral).
• Look for documentation of purulent discharge and chronicity (e.g., "chronic," "persistent," duration > 3 months).