I would use 478.19 for the concha bullosa of the inferior turbinates. Alot of coders seem to think that 733.20 is the proper code, I cannot tell you how many times I see this.
We see patients who have sinus pain due to concha bullosa - the best we can come up with is G50.1 but we think there may be a better choice. Ideas? Another would be our asymmetrical hearing loss patients - H90.5 cross-references but surely there is a better option?
This is the American ICD-10-CM version of J34.9 - other international versions of ICD-10 J34.9 may differ. When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40 ).
Nasal disease. Nasal valve incompetence. Nasopharyngeal mass. Synechia of nasal cavity. ICD-10-CM J34.9 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 154 Other ear, nose, mouth and throat diagnoses with mcc. 155 Other ear, nose, mouth and throat diagnoses with cc.
The index (page 81) excision, concha bullosa - see Ethmoidectomy. However, in NCCH Casemix, DRGs & clinical coding (2000),that advises to assign disease code J34. 3 Hypertrophy of nasal turbinates for concha bullosa, the advice is to assign for removal of concha bullosa 41689-00 [376] partial turbinectomy.
A concha bullosa is a pneumatized (air-filled) cavity within a nasal concha, also known as a turbinate. Bullosa refers to the air-filled cavity within the turbinate. It is a normal anatomic variant seen in up to half the population.
ICD-10 code J34. 89 for Other specified disorders of nose and nasal sinuses is a medical classification as listed by WHO under the range - Diseases of the respiratory system .
ICD-10 Code for Deviated nasal septum- J34. 2- Codify by AAPC.
Concha bullosa happens when one of the conchae, or turbinates, inside your nose becomes filled with a pocket of air. This is also known as pneumatization of the turbinate. There are three pairs of conchae in your nose on either side of the septum. Your septum is the structure that divides your nose in half.
A concha bullosa (CB) represents the presence of air cell in the turbinates, and the middle turbinate (MT) concha bullosa is a common nasal cavity anatomical variation. Pneumatization of the MT happens due to variation in the ethmoidal air cell system development.
Epidemiology. Concha bullosa is a normal variant and is one of the most common variations of sinonasal anatomy, it is identified in ~35% (range 14-53%) of patients 1.
1 (Acute cough) R05.
9: Fever, unspecified.
ICD-10 Code for Congenital perforated nasal septum- Q30. 3- Codify by AAPC.
ICD-10 code R04. 0 for Epistaxis is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
CPTJ34.2Deviated nasal septumJ34.81-J34.89Other specified disorders of nose and nasal sinusesQ67.4Other congenital deformities of skull, face and jawR04.0Epistaxis17 more rows
These are not the easiest to code. Your best bet would be to code for a hemifacial spasm, G51.3. Cerebellopontine angle spasms are typically due to a tumor in that region. If the spasm is being caused by a tumor, then you would code the appropriate neoplasm code, not the spasm.
There is not an ICD-10 code for sinus pain. You would list this as the secondary diagnosis after concha bullosa. Just keep in mind that you do not code sign/symptoms codes when the sign/symptom is routinely associated with the definitive diagnosis. Example, you would not code vomiting and nausea separately with the definitive diagnosis ...