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Home/Diagnosis/ICD-10 Coding for Maxillary Sinusitis

ICD-10 Coding for Maxillary Sinusitis

J01.00
J01.01
J32.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for maxillary sinusitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Maxillary Sinus Infection
Sinusitis of Maxillary Sinus
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Key Information: ICD-10 Coding for Maxillary Sinusitis

Essential facts and insights about ICD-10 Coding for Maxillary Sinusitis

Use ICD-10 code J01.00 for acute maxillary sinusitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute maxillary sinusitis

Billable Code
J01.00
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute symptoms localized to the maxillary sinus

Applicable To

  • • Acute sinus infection of the maxillary sinus

Important Notes

  • • Ensure documentation specifies 'acute' and 'maxillary' to avoid unspecified coding.

Acute recurrent maxillary sinusitis

Billable Code
J01.01
Billable

Diagnostic Criteria

clinical:
  • • Three or more episodes per year
  • • Symptom-free intervals between episodes

Applicable To

  • • Recurrent episodes of acute maxillary sinusitis

Important Notes

  • • Documentation must specify 'recurrent' to differentiate from a single acute episode.

Chronic maxillary sinusitis

Billable Code
J32.0
Billable

Diagnostic Criteria

clinical:
  • • Symptoms persisting for more than 12 weeks
  • • CT scan showing mucosal thickening or obstruction

Applicable To

  • • Chronic sinus infection of the maxillary sinus

Important Notes

  • • Ensure chronicity is documented with duration and imaging findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.2

Streptococcus pneumoniae as the cause of diseases classified elsewhere

Use when a culture confirms Streptococcus pneumoniae as the infectious agent.

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke

Use when there is documented exposure to tobacco smoke.

Frequently Asked Questions

What is the ICD-10 code for acute maxillary sinusitis?

The ICD-10 code for acute maxillary sinusitis is J01.00. It is used when the patient presents with acute symptoms localized to the maxillary sinus.

How do you code chronic maxillary sinusitis?

Chronic maxillary sinusitis is coded as J32.0 in ICD-10. This code is used when symptoms persist for more than 12 weeks and are confirmed by imaging.

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