Otolaryngology Coding Alert

ICD-10:

Ensure Compliance With Sinusitis' One-to-One Relationship For ICD-10

Code J32.x with a fourth digit to specify location.When using the ICD-9-CM code set, you would report 473.x (Chronic sinusitis) for patients suffering from chronic infection of sinus if the symptoms persist despite two or more months' treatment. This condition interferes with drainage and causes mucus to build up, and is also known as rhinosinusitis, hyperplastic sinusitis, chronic rhinosinusitis, and chronic unspecified sinusitis.ICD difference: Effective Oct. 1, 2013, you will use the following ICD10 codes with the prefix J to report chronic sinusitis and its subcategories:J32.0 -- Chronic maxillary sinusitisJ32.1 -- Chronic frontal sinusitisJ32.2 -- Chronic ethmoidal sinusitisJ32.3 -- Chronic sphenoidal sinusitisJ32.4 -- Chronic pansinusitisJ32.8 -- Other chronic sinusitisJ32.9 -- Chronic sinusitis, unspecified.ICD-10 retains the description of chronic sinusitis subcategories from their ICD-9 counterparts, with the addition of one subcategory J32.4 which describes chronic pansinusitis which is currently not available to us under ICD9.Documentation: The otolaryngologist should note the symptoms [...]
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