CHAPTER – 8

EAR AND MASTOID PROCESS

1) Patient presents with left ear pain for past 2 days. Exam reveals a ruptured tympanic membrane
with serous fluid from the left ear. Diagnosis is suppurative otitis media. What ICD-10-CM code?
A) H66.012 B) H66.002 C) H66.3X2 D) H65.92 A

2) Nate is seen for his serous otitis media of his left ear that is chronic. What is the ICD-10-CM code?
A) H65.23 B) H65.493 C) H65113 D) H65.22 D

3) A 30-year-old patient who is a drummer in a band is seen for hearing loss. He is diagnosed with
bilateral noise-induced hearing loss. What is the appropriate ICD-10-CM code? D
A) H91.23 B) H90.3 C) H90.8 D) H83.3X3

4) A 2-year-old patient comes in with left ear pain and fever. She lives with both parents and the
parents smoke in the house. After examination she is diagnosed with acute serous otitis media of the
left ear. What is/are the appropriate ICD-10-CM code(s)? C
A) H65.22 B) H65.05 C) H65.02, Z77.22 D) H65.23, Z87.891

5) A16-month-old boy is brought in to be seen after the mother noted that he was fussy, pulling at his
ears, and running a slight fever. He has had multiple bouts of acute suppurative otitis media in the
past. Upon exam, both tympanic membranes are bulging and purulence is noted in both ears. He is
diagnosed with recurrent acute otitis media. What is the appropriate ICD-10-CM code? B
A) H66.006 B) H65.06 C) H65.116 D) H66.016

6) The patient presents having had recurrent bilateral otitis media, in spite of variety of antibiotic
treatments. The patient continues with symptoms, including pain, facial numbness. She is diagnosed
with acute bilateral mastoiditis. What is the appropriate ICD-10-CM code? D
A) H70.00 B) H70.9 C) H70.093 D) H70.003

7) Patient presents stating he is having difficulty hearing for the past 2 days. His ears feel full and
have some itching in the canals. Otoscopic exam shows cerumen impaction bilaterally.
What is/are the appropriate ICD-10-CM code(s)? D
A) H61.21 B) H61.22 C) H61.21, H61.22 D) H61.23

8) A patient is seen for fever, swelling, and drainage from the right ear. He is diagnosed with acute
mastoiditis. What is the appropriate ICD-10-CM code? D
A) H70.003 B) H70.091 C) H70.11 D) H70.001

9) Patient suffers from a sudden onset of eczematoid otitis externa of the right ear. D
A. H60.331 B. H65.191 C. H66.10 D. H60.541

10) A 6 year-old with right acute nonsuppurative otitis media found to have a perforated tympanic
membrane. His parents smoke in the home. C
A. H62.41, H66.11, P96.81 B. H72.821, H67.1, A77.22
C. H65.191, H72.91, Z77.22 D. H65.91, H72.91, P96.81

11) A patient had a left mastoidectomy for a cholesteatoma several years prior to this visit. On exam it
is found they now have a recurrence of the tumor A
A. H95.02 B. H71.02 C. H71.22 D. H70.12