F90.2 - Attention-deficit hyperactivity disorder, combined type

Clinical Definition

Foreign body of the external ear is the presence of any non-native object in the external ear canal or auricle. This excludes insects and can include items like cotton swabs, beads, or other small objects.

Documentation Requirements

• Must document specific location:

  • External ear canal OR

  • Auricle/pinna

• Laterality (must specify):

  • Right ear

  • Left ear

  • Bilateral

• Time frame:

  • Initial encounter

  • Subsequent encounter

  • Sequela

• Nature of foreign body:

  • Type of object if known

  • Any associated injury or trauma

• Symptoms:

  • Pain

  • Hearing changes

  • Drainage if present

Common Synonyms

• Something stuck in ear

• Object in ear canal

• Blocked ear

• "My child put ____ in their ear"

Coding Conflicts

• Excludes1: Foreign body granuloma of external ear (H61.51-)

• Excludes2: Superficial splinter of external ear without open wound (S00.47-)

Scribing.io Automation

The AI scribe automatically detects phrases indicating foreign bodies in the ear canal during patient encounters. Key triggers include:

• Location descriptors ("in right ear canal")

• Object descriptions

• Associated symptoms

• Treatment methods mentioned (extraction, irrigation)

The system will prompt for missing elements like laterality if not initially documented.