Otitis Media F015
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67
Rulebase for otitis media
<h5>Current RMA Instruments</h5><table border="1" cellpadding="1" cellspacing="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2022/d166eb8d41/062.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>62 of 2022</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2022/9dc900c281/063.pdf" target="_blank">Balance of Probabilities SOP </a></address></td><td>63 of 2022</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="b0e3410a-c863-4549-b13d-b8b8b219af02" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><ul><li>ICD-10-AM Codes: H65, H66, H67</li></ul><h5>Brief description</h5><p>This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.</p><p><strong>Confirming the diagnosis </strong></p><p>This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP. </p><p>The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.</p><h5><strong>Diagnoses covered by SOP</strong></h5><ul><li>All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory</li><li>Middle ear infection</li></ul><h5><strong>Conditions excluded from SOP </strong></h5><ul><li>Cholesteatoma<sup><font size="2">#</font></sup></li><li>Mastoiditis<sup><font size="2">#</font></sup></li><li>Otitis externa*</li><li>Perforation of tympanic membrane<sup><font size="2">#</font></sup></li></ul><p>* Another SOP applies</p><p><sup><font size="2">#</font></sup> Non-SOP condition</p><h5>Clinical onset</h5><p>The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).</p><h5>Clinical worsening</h5><p>Clinical worsening will generally only be relevant for chronic or relapsing otitis media.</p><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/rulebase-otitis-media
Allergic rhinitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/allergic-rhinitis
Inability to obtain appropriate clinical management for otitis media
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/inability-obtain-appropriate-clinical-management-otitis-media
Malignant neoplasm of the nasopharynx
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/malignant-neoplasm-nasopharynx
Otitic barotrauma
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/otitic-barotrauma
Partial or complete obstruction of the eustachian tube
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/partial-or-complete-obstruction-eustachian-tube
Rupture of the tympanic membrane
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/rupture-tympanic-membrane
Therapeutic radiation involving the temporal bone
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/therapeutic-radiation-involving-temporal-bone
Tuberculosis
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/tuberculosis
Viral upper respiratory tract infection
Current RMA Instruments
| Reasonable Hypothesis SOP | 62 of 2022 |
| Balance of Probabilities SOP | 63 of 2022 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: H65, H66, H67
Brief description
This is an inflammation of the middle part of the ear. It is most often infective but there are non-infective causes. It may be an acute or chronic condition. It is usually unilateral.
Confirming the diagnosis
This diagnosis is made on clinical grounds, by inspection of the ear with an otoscope, and can be made by a treating GP.
The relevant medical specialist is an Ear, Nose and Throat (ENT) surgeon.
Diagnoses covered by SOP
- All forms of otitis media, e.g. acute, chronic, serous, purulent, secretory
- Middle ear infection
Conditions excluded from SOP
- Cholesteatoma#
- Mastoiditis#
- Otitis externa*
- Perforation of tympanic membrane#
* Another SOP applies
# Non-SOP condition
Clinical onset
The onset of acute otitis media in adults is typically associated with otalgia (ear pain) and decreased hearing. Chronic otitis media will have been preceded by acute otitis media. Chronic otitis media features painless recurrent or persistent discharge from the ear (through a perforated tympanic membrane).
Clinical worsening
Clinical worsening will generally only be relevant for chronic or relapsing otitis media.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/n-p/otitis-media-f015-h65-h66-h67/rulebase-otitis-media/viral-upper-respiratory-tract-infection