Chronic sinusitis vs Pansinusitis

yolwil

Networker
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Jackson, MS
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When the doctor dictates that a patient has chronic sinusitis in all cavities (maxillary, frontal, sphenoid and ethmoid) and lists them individually (chronic sinusitis, frontal . . . chronic sinusitis, maxillary etc), do I code them individually (J32.0 J32.1 J32.2 J32.2) or can I use the chronic pansinusitis code (J32.4)?
 

ehanna

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When the doctor dictates that a patient has chronic sinusitis in all cavities (maxillary, frontal, sphenoid and ethmoid) and lists them individually (chronic sinusitis, frontal . . . chronic sinusitis, maxillary etc), do I code them individually (J32.0 J32.1 J32.2 J32.2) or can I use the chronic pansinusitis code (J32.4)?

I personally would code the pansinusitis since all sinuses are involved.
 

nalaxu

New
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Dover, Pennsylvania
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When the doctor dictates that a patient has chronic sinusitis in all cavities (maxillary, frontal, sphenoid and ethmoid) and lists them individually (chronic sinusitis, frontal . . . chronic sinusitis, maxillary etc), do I code them individually (J32.0 J32.1 J32.2 J32.2) or can I use the chronic pansinusitis code (J32.4)?

I was looking for documentation concerning this. I was coding this as pansinusitis and got dinged on an audit. I was told if the doctor doesn't specifiy pan you can't code it. I disagree but can't find anything either way about this.
 

mitchellde

True Blue
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Columbia, MO
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the provider does not need to state the word pansinusitis if he/she has documented every sinus as having sinusitis. The difienition of pansinsitis is an inflammation of every sinus on one or both sides. So if all are documented I would code pansinusitis.
 
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