Using the ICD-10-CM code book, identify the main term for the following diagnosis: Office Note

This 19-year-old female has been complaining of right ear pain for 3 days and feeling tired.

EXAM

EYES: Appear normal

NOSE: No findings

CERVICAL LYMPH NODES: Unremarkable

EARS: The right ear shows otitis media is present.

DIAGNOSIS: Acute serous otitis media

PLAN: Antibiotics and drops given. Instructed to return in 10 days.

List the main term used to locate information in the Alphabetic Index .

Ear infections are caused by virus or bacteria. Usually kids gets an ear infection at least once during 3 years of age.

The infection may get severe if it is left untreated. Antibiotics are given to the patient who complains for ear infection.

In the given scenario a 19 year old girl complains about the ear pain and after diagnosis it is found she is suffering from Otitis Media.

This is middle ear infection which causes inflammation in the ear.

The alphabetical index used to locate information is H66.91

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