© Copyright 2026 American Medical Association. All rights reserved.
An abscess of the external auditory canal (EAC) refers to a localized collection of pus that can occur in the ear canal, often resulting from infection or blockage. The procedure coded as CPT® 69020 involves the drainage of this abscess to alleviate pain, reduce swelling, and prevent further complications. During the procedure, a thorough otoscopic examination is conducted to visualize the external ear canal and accurately identify the location of the abscess. An operating head is then attached to the otoscope, allowing for the introduction of surgical instruments through the speculum for effective intervention. The area surrounding the abscess is meticulously cleansed with a disinfectant to minimize the risk of infection. Following this, the abscess is incised to allow for drainage of the pus, and the site is irrigated with a sterile solution to ensure that all infected material is removed. After drainage, topical antibiotics may be applied to the affected area to promote healing and prevent reinfection. Depending on the clinical situation, the skin may either be closed or left open to facilitate continued drainage. Additionally, the ear canal may be packed with sterile gauze to support the healing process and manage any residual discharge.
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