K63.5 - Polyp of colon

Clinical Definition

Acute bilateral hemorrhagic otitis media refers to an inflammatory condition affecting both middle ear spaces simultaneously, characterized by the presence of blood or bloody fluid behind the tympanic membranes. The acute designation indicates recent onset of symptoms.

Documentation Requirements

• Laterality: Must specify BILATERAL involvement

• Acuity: Document as ACUTE (vs. chronic)

• Hemorrhagic Component: Must note presence of blood/bloody fluid

• Timing: Document onset and duration of symptoms

• Associated Findings: Record:

  • Otoscopic examination results

  • Tympanic membrane appearance

  • Presence/absence of perforation

  • Color/character of effusion

Common Synonyms

• "Bleeding ear infection on both sides"

• "Double ear infection with blood"

• "Bloody middle ear infection"

• "Bleeding behind eardrums"

Coding Conflicts

Excludes1:

• Chronic otitis media

• Serous otitis media

• Non-hemorrhagic otitis media

Excludes2:

• Acute myringitis

• Otitis externa

Scribing.io Automation

Our AI scribe automatically detects key phrases indicating bilateral hemorrhagic otitis media by:

• Scanning for terms like "bilateral," "both ears," "hemorrhagic"

• Identifying temporal markers for acuity

• Recognizing descriptions of bloody effusion

• Matching otoscopic examination findings

• Flagging relevant physical exam documentation
  The system then suggests the appropriate ICD-10 code based on these documented elements.