DISEASES OF THE EAR AND MASTOID PROCESS (380-389)

Disorders of external ear
Nonsuppurative otitis media and Eustachian tube disorders
Suppurative and unspecified otitis media
Mastoiditis and related conditions
Other disorders of tympanic membrane
Other disorders of middle ear and mastoid
Vertiginous syndromes and other disorders of vestibular system
Otosclerosis
Other disorders of ear
Hearing loss

380 Disorders of external ear

380.0 Perichondritis of pinna

Perichondritis of auricle
380.00 Perichondritis of pinna, unspecified
380.01 Acute perichondritis of pinna
380.02 Chronic perichondritis of pinna

380.1 Infective otitis externa

380.10 Infective otitis externa, unspecified
Otitis externa (acute):
NOS
circumscribed
diffuse
hemorrhagica
infective NOS
380.11 Acute infection of pinna
Excludes: furuncular otitis externa (680.0)
380.12 Acute swimmers' ear
Beach ear
Tank ear
380.13 Other acute infections of external ear
Code first underlying disease, as:
erysipelas (035)
impetigo (684)
seborrheic dermatitis (690.10-690.18)
Excludes: herpes simplex (054.73)
herpes zoster (053.71)
380.14 Malignant otitis externa
380.15 Chronic mycotic otitis externa
Code first underlying disease, as:
aspergillosis (117.3)
otomycosis NOS (111.9)
Excludes: candidal otitis externa (112.82)
380.16 Other chronic infective otitis externa
Chronic infective otitis externa NOS

380.2 Other otitis externa

380.21 Cholesteatoma of external ear
Keratosis obturans of external ear (canal)
Excludes: cholesteatoma NOS (385.30-385.35)
postmastoidectomy (383.32)
380.22 Other acute otitis externa
Acute otitis externa:
actinic
chemical
contact
eczematoid
reactive
380.23 Other chronic otitis externa
Chronic otitis externa NOS

380.3 Noninfectious disorders of pinna

380.30 Disorder of pinna, unspecified
380.31 Hematoma of auricle or pinna
380.32 Acquired deformities of auricle or pinna
Excludes: cauliflower ear (738.7)
380.39 Other
Excludes: gouty tophi of ear (274.81)

380.4 Impacted cerumen

Wax in ear

380.5 Acquired stenosis of external ear canal

Collapse of external ear canal
380.50 Acquired stenosis of external ear canal, unspecified as to cause
380.51 Secondary to trauma
380.52 Secondary to surgery
380.53 Secondary to inflammation

380.8 Other disorders of external ear

380.81 Exostosis of external ear canal
380.89 Other

380.9 Unspecified disorder of external ear

381 Nonsuppurative otitis media and Eustachian tube disorders

381.0 Acute nonsuppurative otitis media

Acute tubotympanic catarrh
Otitis media, acute or subacute:
catarrhal
exudative
transudative
with effusion
Excludes: otitic barotrauma (993.0)
381.00 Acute nonsuppurative otitis media, unspecified
381.01 Acute serous otitis media
Acute or subacute secretory otitis media
381.02 Acute mucoid otitis media
Acute or subacute seromucinous otitis media
Blue drum syndrome
381.03 Acute sanguinous otitis media
381.04 Acute allergic serous otitis media
381.05 Acute allergic mucoid otitis media
381.06 Acute allergic sanguinous otitis media

381.1 Chronic serous otitis media

Chronic tubotympanic catarrh
381.10 Chronic serous otitis media, simple or unspecified
381.19 Other
Serosanguinous chronic otitis media

381.2 Chronic mucoid otitis media

Glue ear
Excludes: adhesive middle ear disease (385.10-385.19)
381.20 Chronic mucoid otitis media, simple or unspecified
381.29 Other
Mucosanguinous chronic otitis media

381.3 Other and unspecified chronic nonsuppurative otitis media

Otitis media, chronic:
allergic
exudative
secretory
seromucinous
transudative
with effusion

381.4 Nonsuppurative otitis media, not specified as acute or chronic

Otitis media:
allergic
catarrhal
exudative
mucoid
secretory
seromucinous
serous
transudative
with effusion

381.5 Eustachian salpingitis

381.50 Eustachian salpingitis, unspecified
381.51 Acute Eustachian salpingitis
381.52 Chronic Eustachian salpingitis

381.6 Obstruction of Eustachian tube

Stenosis of Eustachian tube
Stricture of Eustachian tube
381.60 Obstruction of Eustachian tube, unspecified
381.61 Osseous obstruction of Eustachian tube
Obstruction of Eustachian tube from cholesteatoma, polyp, or other osseous lesion
381.62 Intrinsic cartilagenous obstruction of Eustachian tube
381.63 Extrinsic cartilagenous obstruction of Eustachian tube
Compression of Eustachian tube

381.7 Patulous Eustachian tube

381.8 Other disorders of Eustachian tube

381.81 Dysfunction of Eustachian tube
381.89 Other

381.9 Unspecified Eustachian tube disorder

382 Suppurative and unspecified otitis media

382.0 Acute suppurative otitis media

Otitis media, acute:
necrotizing NOS
purulent
382.00 Acute suppurative otitis media without spontaneous rupture of ear drum
382.01 Acute suppurative otitis media with spontaneous rupture of ear drum
382.02 Acute suppurative otitis media in diseases classified elsewhere
Code first underlying disease, as:
influenza (487.8)
scarlet fever (034.1)
Excludes: postmeasles otitis (055.2)

382.1 Chronic tubotympanic suppurative otitis media

Benign chronic suppurative otitis media (with anterior perforation of ear drum)
Chronic tubotympanic disease (with anterior perforation of ear drum)

382.2 Chronic atticoantral suppurative otitis media

Chronic atticoantral disease (with posterior or superior marginal perforation of ear drum)
Persistent mucosal disease (with posterior or superior marginal perforation of ear drum)

382.3 Unspecified chronic suppurative otitis media

Chronic purulent otitis media
Excludes: tuberculous otitis media (017.4)

382.4 Unspecified suppurative otitis media

Purulent otitis media NOS

382.9 Unspecified otitis media

Otitis media:
NOS
acute NOS
chronic NOS

383 Mastoiditis and related conditions

383.0 Acute mastoiditis

Abscess of mastoid
Empyema of mastoid
383.00 Acute mastoiditis without complications
383.01 Subperiosteal abscess of mastoid
383.02 Acute mastoiditis with other complications
Gradenigo's syndrome

383.1 Chronic mastoiditis

Caries of mastoid
Fistula of mastoid
Excludes: tuberculous mastoiditis (015.6)

383.2 Petrositis

Coalescing osteitis of petrous bone
Inflammation of petrous bone
Osteomyelitis of petrous bone
383.20 Petrositis, unspecified
383.21 Acute petrositis
383.22 Chronic petrositis

383.3 Complications following mastoidectomy

383.30 Postmastoidectomy complication, unspecified
383.31 Mucosal cyst of postmastoidectomy cavity
383.32 Recurrent cholesteatoma of postmastoidectomy cavity
383.33 Granulations of postmastoidectomy cavity
Chronic inflammation of postmastoidectomy cavity

383.8 Other disorders of mastoid

383.81 Postauricular fistula
383.89 Other

383.9 Unspecified mastoiditis

384 Other disorders of tympanic membrane

384.0 Acute myringitis without mention of otitis media

384.00 Acute myringitis, unspecified
Acute tympanitis NOS
384.01 Bullous myringitis
Myringitis bullosa hemorrhagica
384.09 Other

384.1 Chronic myringitis without mention of otitis media

Chronic tympanitis

384.2 Perforation of tympanic membrane

Perforation of ear drum:
NOS
persistent posttraumatic
postinflammatory
Excludes: otitis media with perforation of tympanic membrane (382.00-382.9)
traumatic perforation [current injury] (872.61)
384.20 Perforation of tympanic membrane, unspecified
384.21 Central perforation of tympanic membrane
384.22 Attic perforation of tympanic membrane
Pars flaccida
384.23 Other marginal perforation of tympanic membrane
384.24 Multiple perforations of tympanic membrane
384.25 Total perforation of tympanic membrane

384.8 Other specified disorders of tympanic membrane

384.81 Atrophic flaccid tympanic membrane
Healed perforation of ear drum
384.82 Atrophic nonflaccid tympanic membrane

384.9 Unspecified disorder of tympanic membrane

385 Other disorders of middle ear and mastoid

Excludes: mastoiditis (383.0-383.9)

385.0 Tympanosclerosis

385.00 Tympanosclerosis, unspecified as to involvement
385.01 Tympanosclerosis involving tympanic membrane only
385.02 Tympanosclerosis involving tympanic membrane and ear ossicles
385.03 Tympanosclerosis involving tympanic membrane, ear ossicles, and middle ear
385.09 Tympanosclerosis involving other combination of structures

385.1 Adhesive middle ear disease

Adhesive otitis
Otitis media:
chronic adhesive
fibrotic
Excludes: glue ear (381.20-381.29)
385.10 Adhesive middle ear disease, unspecified as to involvement
385.11 Adhesions of drum head to incus
385.12 Adhesions of drum head to stapes
385.13 Adhesions of drum head to promontorium
385.19 Other adhesions and combinations

385.2 Other acquired abnormality of ear ossicles

385.21 Impaired mobility of malleus
Ankylosis of malleus
385.22 Impaired mobility of other ear ossicles
Ankylosis of ear ossicles, except malleus
385.23 Discontinuity or dislocation of ear ossicles
385.24 Partial loss or necrosis of ear ossicles

385.3 Cholesteatoma of middle ear and mastoid

Cholesterosis of (middle) ear
Epidermosis of (middle) ear
Keratosis of (middle) ear
Polyp of (middle) ear
Excludes: cholesteatoma:
external ear canal (380.21)
recurrent of postmastoidectomy cavity (383.32)
385.30 Cholesteatoma, unspecified
385.31 Cholesteatoma of attic
385.32 Cholesteatoma of middle ear
385.33 Cholesteatoma of middle ear and mastoid
385.35 Diffuse cholesteatosis

385.8 Other disorders of middle ear and mastoid

385.82 Cholesterin granuloma
385.83 Retained foreign body of middle ear
385.89 Other

385.9 Unspecified disorder of middle ear and mastoid

386 Vertiginous syndromes and other disorders of vestibular system

Excludes: vertigo NOS (780.4)

386.0 Méniére's disease

Endolymphatic hydrops
Lermoyez's syndrome
Méniére's syndrome or vertigo
386.00 Méniére's disease, unspecified
Méniére's disease (active)
386.01 Active Méniére's disease, cochleovestibular
386.02 Active Méniére's disease, cochlear
386.03 Active Méniére's disease, vestibular
386.04 Inactive Méniére's disease
Méniére's disease in remission

386.1 Other and unspecified peripheral vertigo

Excludes: epidemic vertigo (078.81)
386.10 Peripheral vertigo, unspecified
386.11 Benign paroxysmal positional vertigo
Benign paroxysmal positional nystagmus
386.12 Vestibular neuronitis
Acute (and recurrent) peripheral vestibulopathy
386.19 Other
Aural vertigo
Otogenic vertigo

386.2 Vertigo of central origin

Central positional nystagmus
Malignant positional vertigo

386.3 Labyrinthitis

386.30 Labyrinthitis, unspecified
386.31 Serous labyrinthitis
Diffuse labyrinthitis
386.32 Circumscribed labyrinthitis
Focal labyrinthitis
386.33 Suppurative labyrinthitis
Purulent labyrinthitis
386.34 Toxic labyrinthitis
386.35 Viral labyrinthitis

386.4 Labyrinthine fistula

386.40 Labyrinthine fistula, unspecified
386.41 Round window fistula
386.42 Oval window fistula
386.43 Semicircular canal fistula
386.48 Labyrinthine fistula of combined sites

386.5 Labyrinthine dysfunction

386.50 Labyrinthine dysfunction, unspecified
386.51 Hyperactive labyrinth, unilateral
386.52 Hyperactive labyrinth, bilateral
386.53 Hypoactive labyrinth, unilateral
386.54 Hypoactive labyrinth, bilateral
386.55 Loss of labyrinthine reactivity, unilateral
386.56 Loss of labyrinthine reactivity, bilateral
386.58 Other forms and combinations

386.8 Other disorders of labyrinth

386.9 Unspecified vertiginous syndromes and labyrinthine disorders

387 Otosclerosis

Includes: otospongiosis

387.0 Otosclerosis involving oval window, nonobliterative

387.1 Otosclerosis involving oval window, obliterative

387.2 Cochlear otosclerosis

Otosclerosis involving:
otic capsule
round window

387.8 Other otosclerosis

387.9 Otosclerosis, unspecified

388 Other disorders of ear

388.0 Degenerative and vascular disorders of ear

388.00 Degenerative and vascular disorders, unspecified
388.01 Presbyacusis
388.02 Transient ischemic deafness

388.1 Noise effects on inner ear

388.10 Noise effects on inner ear, unspecified
388.11 Acoustic trauma (explosive) to ear
Otitic blast injury
388.12 Noise-induced hearing loss

388.2 Sudden hearing loss, unspecified

388.3 Tinnitus

388.30 Tinnitus, unspecified
388.31 Subjective tinnitus
388.32 Objective tinnitus

388.4 Other abnormal auditory perception

388.40 Abnormal auditory perception, unspecified
388.41 Diplacusis
388.42 Hyperacusis
388.43 Impairment of auditory discrimination
388.44 Recruitment

388.5 Disorders of acoustic nerve

Acoustic neuritis Degeneration of acoustic or eighth nerve
Disorder of acoustic or eighth nerve
Excludes: acoustic neuroma (225.1)
syphilitic acoustic neuritis (094.86)

388.6 Otorrhea

388.60 Otorrhea, unspecified
Discharging ear NOS
388.61 Cerebrospinal fluid otorrhea
Excludes: cerebrospinal fluid rhinorrhea (349.81)
388.69 Other
Otorrhagia

388.7 Otalgia

388.70 Otalgia, unspecified
Earache NOS
388.71 Otogenic pain
388.72 Referred pain

388.8 Other disorders of ear

388.9 Unspecified disorder of ear

389 Hearing loss

389.0 Conductive hearing loss

Conductive deafness
389.00 Conductive hearing loss, unspecified
389.01 Conductive hearing loss, external ear
389.02 Conductive hearing loss, tympanic membrane
389.03 Conductive hearing loss, middle ear
389.04 Conductive hearing loss, inner ear
389.08 Conductive hearing loss of combined types

389.1 Sensorineural hearing loss

Perceptive hearing loss or deafness
Excludes: abnormal auditory perception (388.40-388.44)
psychogenic deafness (306.7)
389.10 Sensorineural hearing loss, unspecified
389.11 Sensory hearing loss
389.12 Neural hearing loss
389.14 Central hearing loss
389.18 Sensorineural hearing loss of combined types

389.2 Mixed conductive and sensorineural hearing loss

Deafness or hearing loss of type classifiable to 389.0 with type classifiable to 389.1