Case 2

Use the diagnostic statement in this case note to answer the following questions using the ICD-10-CM Code Book.

Office Note

This 10-month-old patient is brought to the office by his father. The father states that the child is pulling on his right ear, has been running a fever, and has been crying for no reason.

Temperature is 100.4. Otoscopic examination reveals a bulging tympanic membrane in the right ear, which is red and swollen. Left ear is normal.

Assessment: Acute suppurative otitis media Plan: Tylenol for pain and amoxicillin as written

Hints:

• Main term: The condition, check the Alphabetic Index for which term is bold.
• Sub term: Check first vertical line indented under the main term for terms that describe the main term (condition).
• Remember to include all required characters and follow sequencing guidance provided in the notes.

What is the main term that leads to the ICD-10-CM code for acute suppurative otitis media?

Which ICD-10-CM diagnosis code should be assigned for acute suppurative otitis media?