Otorrhea, bilateral

This code signifies the presence of discharge or drainage from both ears. Otorrhea can be serous, purulent, sanguineous, or mucoid, indicating various underlying pathologies affecting the middle or external ear structures.

Apply this code when documentation explicitly states bilateral ear discharge. This is appropriate for conditions such as bilateral otitis media with effusion, perforated tympanic membranes in both ears with drainage, or bilateral external otitis with discharge. Ensure the medical record specifies the laterality as bilateral.

• Do not use this code if the otorrhea is unilateral; specific codes exist for right or left ear involvement.
• Always code the underlying cause of the otorrhea first, if known and documented (e.g., otitis media, mastoiditis).
• Ensure the documentation clearly distinguishes between active drainage and a history of drainage.