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sinus mucosal thickening icd-9?

  1. #1
    Default sinus mucosal thickening icd-9?
    Medical Coding Books
    This may be a dumb question but I'm coding MRI's, and alot of them mention thickening of the mucosa in the sinuses. I'm not sure which ICD-9 to use since it's not technically sinusitis. I understand that it's the inflammation of the mucosa in the sinuses.. I just can't find a code to fit. Any suggestions?

  2. #2
    Look at 478.11 or 478.19.

  3. Default
    Your statement that the mucosal thickening is not "technically" sinusitis is not correct, break the word down and you have sinus - itis = sinus inflammation; the most recognizable finding for either acute or chronic sinusitis is the thickening of the sinus mucosa.

    Personally, I would utilize 478.19 or 473.9; do you have the ability to speak with the radiologist or have clinical information available, such as pre-testing diagnosis? are these MRI's of the head and the sinus mucosal thickening part of the findings? what are the radiologists final impressions?

    I am curious...

    CT ENT

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