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Home/Diagnosis/ICD-10 Coding for Sinus Pain

ICD-10 Coding for Sinus Pain

J01.00
J32.0

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

Also Known as:
Sinusitis
Rhinosinusitis
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Key Information: ICD-10 Coding for Sinus Pain

Essential facts and insights about ICD-10 Coding for Sinus Pain

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

Primary ICD-10-CM Codes

Acute maxillary sinusitis, unspecified

Billable Code
J01.00
Billable

Diagnostic Criteria

clinical:
  • • Symptoms present for less than 4 weeks with purulent discharge
documentation:
  • • Lack of specific sinus location or infectious agent

Applicable To

  • • Acute sinusitis of the maxillary sinus

Important Notes

  • • Ensure documentation specifies acute nature and maxillary involvement.

Chronic maxillary sinusitis

Billable Code
J32.0
Billable

Diagnostic Criteria

clinical:
  • • Symptoms persisting for more than 12 weeks
  • • Objective evidence from CT or endoscopy

Applicable To

  • • Chronic sinusitis of the maxillary sinus

Important Notes

  • • Ensure chronic nature is documented with objective findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.2

Streptococcus, group B, as the cause of diseases classified elsewhere

Use when culture confirms Streptococcus as the infectious agent.

B96.21

Methicillin susceptible Staphylococcus aureus (MSSA) as the cause of diseases classified elsewhere

Use when MSSA is identified as the infectious agent.

Frequently Asked Questions

What is the ICD-10 code for sinus pain?

The ICD-10 code for sinus pain depends on the type and duration of sinusitis. Acute maxillary sinusitis is coded as J01.00, while chronic maxillary sinusitis is coded as J32.0.

How is chronic sinusitis documented?

Chronic sinusitis requires documentation of symptoms lasting over 12 weeks and objective evidence from CT or endoscopy.

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