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Thread: DX code for sinus xray

  1. #1

    Default DX code for sinus xray

    AAPC: Back to School
    Pt has sinus xray for indication of sore throat and sinus congestion. Report says maxillary sinusitis. Do you use the chronic code of 473.0 or the acute

  2. #2
    Join Date
    Apr 2007
    Fort Worth TX


    I would use the acute, because you don't know that it is chronic.

  3. #3
    Join Date
    Apr 2007


    If the provider does not specify, ICD-9 defaults to 473.0 is catergorized as chronic or unspecified sinusitis. I would query the provider for specificity, otherwise use the defaulted code in ICD-9 473.0.

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default Acute

    I'd vote for 461.0 Sinusitis, Acute, Maxillary.

    Why? Because unless you know that a condition is chronic (a condition of long standing), you can only assume this is an acute episode.

    So, if the physician didn't specify chronic, I'd code as acute.

    Just my opinion,

    F Tessa Bartels, CPC, CPC-E/M

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