Sinusitis (accessory) (chronic) (hyperplastic) (nasal) (nonpurulent) (purulent) J32.9. ICD-10-CM Diagnosis Code J32.9. Chronic sinusitis, unspecified. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. Applicable To. Sinusitis (chronic) NOS. acute J01.90. ICD-10-CM Codes Adjacent To J01.90.
According to the American Academy of Otolaryngology, acute sinusitis is “diagnosed when symptoms last up to 4 weeks.” Chronic sinusitis, on the other hand, “lasts for 12 weeks or longer.” With this information at hand, we can decisively code this indicating diagnosis as acute sinusitis: Indication: Acute, recurrent ethmoid and maxillary sinusitis
See the Excludes2 instruction note under code category J01 concerning chronic sinusitis, and the instructions under code category J01 and J32 to "Use additional code" to identify an infectious agent for the Enterococcus by indexing the main term Infection, bacterial, Enterococcus.
To code bronchiectasis with (acute) exacerbation, refer to the index main term Bronchiectasis, subterms with, exacerbation (acute) (J47.1). Both subterms are indented at the same level, so both codes are assigned. Either could be sequenced first A patient is admitted with pneumonia and placed on intravenous antibiotics.
ICD-10 code J01. 90 for Acute sinusitis, unspecified 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.
00.
ICD-10-CM Code for Chronic maxillary sinusitis J32. 0.
J01. 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 J01.
Acute sinusitis is most often caused by the common cold. Signs and symptoms may include a blocked and stuffy (congested) nose, which may block your sinuses and prevent drainage of mucus. Acute sinusitis is most often caused by the common cold, which is an infection with a virus.
Acute Sinusitis Acute maxillary sinusitis is characterized by facial pain, localized to the cheek, but also in the frontal area or the teeth, that is made worse by stooping down or straining. The pain can be unilateral or bilateral, and tenderness may overlie the sinus.
J01. 00 - Acute maxillary sinusitis, unspecified | ICD-10-CM.
9: Fever, unspecified.
Maxillary Sinusitis is the inflammation of the paranasal sinuses caused by a virus, bacteria, or fungus. The infection can also result after an allergic reaction – when the immune system attacks the healthy body cells. This infection may be associated with both bacterial and fungal infections.
Chronic sinusitis occurs when the spaces inside your nose and head (sinuses) are swollen and inflamed for three months or longer, despite treatment. This common condition interferes with the way mucus normally drains, and makes your nose stuffy.
Neoplasm-Related Pain 3 [Neoplasm related pain (acute) (chronic)]. The neoplasm is coded separately. If the purpose of the encounter is pain control, then the pain code should be listed first. Otherwise, the neoplasm is coded first.
ICD-10-CM codes for sinusitis are found in chapter 10, Diseases of the Respiratory System, which includes codes J00-J99.
The codes for documented chronic sinusitis begin with category J32. A fourth character is required to indicate the sinus (es) affected. For example:
The National Institute of Allergy and Infectious Diseases explains that paranasal sinuses are inflamed due to infection, which causes pain, drainage problems, and mucus build-up. Anyone who has experienced sinusitis can identify with the pain associated with the swelling.
According to Wikipedia, the paranasal sinuses “are a group of four paired air-filled spaces that surround the nasal cavity (maxillary sinuses), above the eyes (frontal sinuses), between the eyes (ethmoid sinuses), and behind the ethmoids (sphenoid sinuses). The sinuses are named for the facial bones in which they are located.”.
Recurrent acute – four or more acute episodes per year. According to the National Institute of Allergy and Infectious Diseases: Acute sinusitis (acute rhinosinusitis) causes the cavities around nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up.
WebMD defines sinusitis as “an inflammation, or swelling, of the tissue lining the sinuses. Normally, sinuses are filled with air, but when sinuses become blocked and filled with fluid, germs (bacteria, viruses, and fungi) can grow and cause an infection.”.
There are also two Excludes notes. The Excludes1 note indicates not to use these codes to describe sinusitis, not otherwise specified (NOS), which would be coded as J32.9 Chronic sinusitis, unspecified. The Excludes2 note explains that if the patient also has documented chronic sinusitis, it should be coded in addition to the code for the acute condition.
J01 is a non-billable ICD-10 code for Acute sinusitis. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
When an Excludes2 note appears under a code it is acceptable to use both the code and the excluded code together. A “code also” note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction. The sequencing depends on the circumstances of the encounter.
Code J42 is assigned for unspecified chronic bronchitis, and the provider has documented "simple chronic bronchitis" as the definitive diagnosis. A patient with known emphysema is admitted with extreme breathlessness.
Refer to the index main term Influenza, due to identified novel influenza A virus, with digestive manifestations (J09.X3) . This code includes "viral gastroenteritis." See the Excludes1 Note. Assign J14, Pneumonia due to Haemophilus influenza, as an additional code following J09.X3 to identify the pneumonia with the separate type of flu.
Refer to the index main term Asthma, subterms allergic extrinsic, with, exacerbation (acute) (J45.901). Verify in the tabular list and assign J45.901, Unspecified asthma with ( acute) exacerbation.
Index the main term Pneumonia, subterm Streptococcus pneumoniae ( J13). This combination code includes both the disease (pneumonia) and the causative organism.
It is not appropriate to code based on laboratory test results. However, the provider may be queried for clarification or additional documentation. A patient with a history of COPD and chronic respiratory failure is admitted for treatment of lobar pneumonia, and acute respiratory failure develops after admission.
J44.9, Chronic obstructive pulmonary disease, unspecified, is an unlikely reason for inpatient admission. It is appropriate to query the provider to clarify if COPD is decompensated or in acute exacerbation (J44.1), or with an acute lower respiratory infection (J44.0).