Acute ethmoidal sinusitis, unspecified 2016 2017 2018 2019 2020 2021 Billable/Specific Code J01.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM J01.20 became effective on October 1, 2020.
Your statement that the mucosal thickening is not "technically" sinusitis is not correct, break the word down and you have sinus - itis = sinus inflammation; the most recognizable finding for either acute or chronic sinusitis is the thickening of the sinus mucosa.
J32.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J32.2 became effective on October 1, 2021. This is the American ICD-10-CM version of J32.2 - other international versions of ICD-10 J32.2 may differ. A type 1 excludes note is a pure excludes.
J34. 89 - Other specified disorders of nose and nasal sinuses | ICD-10-CM.
ICD-10 code J32. 2 for Chronic ethmoidal sinusitis is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
Ethmoid sinusitis is the inflammation of a specific group of sinuses — the ethmoid sinuses — which sit between the nose and eyes. The ethmoid sinuses are hollow spaces in the bones around the nose. They have a lining of mucus to help prevent the nose from drying out.
Unspecified disorder of nose and nasal sinuses The 2022 edition of ICD-10-CM J34. 9 became effective on October 1, 2021.
ICD-10 code J32. 0 for Chronic maxillary sinusitis is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
ICD-10-CM Diagnosis Code J01 sinusitis NOS (J32. 9); chronic sinusitis (J32. 0-J32. 8); acute abscess of sinus; acute empyema of sinus; acute infection of sinus; acute inflammation of sinus; acute suppuration of sinus; code (B95-B97) to identify infectious agent.
Mucosal thickening is an inflammatory reaction with hyperplasia of the mucous lining of the maxillary sinus. 2. This condition may result from harmful actions caused by trauma, infections, chemical agents, foreign body reaction, neoplasm, or airway conditions such as allergies, rhinitis, or asthma.
Mucosal thickening in the left anterior ethmoid and maxillary sinuses and in the region of the infundibulum. This indicates an ostiomeatal pattern of sinusitis. The sphenoid sinus drains posterior to the superior turbinate into the sphenoethmoid recess through the sphenoid ostium.
ethmoid. / (ˈɛθmɔɪd) anatomy / adjective Also: ethmoidal. denoting or relating to a bone of the skull that forms part of the eye socket and the nasal cavity.
J34. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J34.
In 30130, the physician cuts out the inferior turbinate and surrounding submucosal tissue. With 30140, you will want to see that the submucosa is entered and the bone is resected and removed.
Concha bullosa is defined as the presence of air cells in turbinates. It can be best diagnosed with paranasal sinus computed tomography. Concha bullosa is a possible etiologic factor for recurrent sinusitis due to its negative effect on paranasal sinus ventilation and mucociliary clearance.
Yuca and co-workers (2006) stated that antro-choanal polyp (ACP) is a benign maxillary sinus polyp that originates from the mucosa of the maxillary sinus, passes through a sinus ostium, and extends into the choana. The common presentation of ACP is unilateral nasal obstruction. These investigators discussed radiographic findings and differential diagnosis of ACPs by comparing them with data in the literature. This study included 19 surgically treated patients with ACPs (14 male, 5 female; median age of 24.5 years, range of 8 to 75 years) diagnosed by clinical examination, nasal endoscopy, and CT. Nasal obstruction was found in all cases; ESS was preferred for removal of the nasal part of ACPs in 13 cases. Only in 1 case, polypectomy combined with Caldwell-Luc operation and septoplasty was performed. The observed complications were as follows: minor hemorrhage in 3 cases, mild cheek swelling with pain in 2 cases, and infra-orbital hypoesthesia in 1 case. Histopathologic examination of ACPs revealed loose mucoid stroma and mucous glands, which were covered by respiratory epithelium. The authors concluded that ESS may be indicated in patients with ACPs because the function and capacity of the maxillary antrum are preserved. The greater portion of the antral part of polyp could be removed while leaving the healthy antral mucosa intact.
Zukin and colleagues (2017) stated that para-nasal sinus mucoceles are benign cystic lesions originating from sinus mucosa that can impinge on adjacent orbital structures, causing ophthalmic sequelae such as decreased visual acuity (VA). Definitive treatment requires surgery. These investigators presented the first meta-analysis quantifying the effect of pre-operative visual function and time to surgery on post-operative VA outcomes. Data sources included PubMed, Ovid, Embase, Web of Science, and the Cochrane Library. Two independent authors systematically reviewed articles describing outcomes after ESS for para-nasal sinus mucoceles presenting with visual loss. Available data from case reports and series were combined to analyze the associations among pre-operative VA, time-to-surgery, and post-operative outcomes. A total of 85 studies were included that provided data on 207 patients. The average presenting VA was 1.57 logMAR (logarithm of the minimum angle of resolution), and the average post-operative VA was 0.21 logMAR, with visual improvement in 71.5 % of cases. Pre-operative VA of greater than or equal to 1.52 logMAR correlated with post-operative improvement greater than 1 logMAR (R = 0.4887, p < 0.0001). A correlation was found between a time-to-surgery of less than 6 days and post-operative improvement (R = 0.297, p < 0.0001). Receiver operator curve analysis of these thresholds demonstrated a moderately accurate prognostic ability (area under the curve: 75.1 for pre-operative VA and 73.1 for time-to-surgery). The authors concluded that visual loss resulting from para-nasal sinus mucoceles is potentially reversible in most cases, even those presenting with poor vision. When possible, surgery should be performed promptly after diagnosis, but emergency surgery did not appear to be necessary for vision restoration.