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DX code for sinus xray

  1. Default DX code for sinus xray
    Medical Coding Books
    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
    I would use the acute, because you don't know that it is chronic.

  3. #3
    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
    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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