This interferes with drainage and causes mucus to build up. For example, will the screen that displays the diagnosis options look the same as it does now, perhaps only wider to accommodate the increased verbiage and characters? A 3-character code is to be used only if it is not further subdivided. Or would documentation provide further information to define the specific location? As already mentioned, the code 473. Anyone who has experienced sinusitis can identify with the pain associated with the swelling. The Excludes2 note explains that if the patient also has documented chronic sinusitis, it should be coded in addition to the code for the acute condition.
For instance, you use 473. More specific codes: A more specific code should be selected. Codes for acute sinusitis begin with category J01. If you are a member and have already , you can log in by. First, there is a statement to use an additional code to identify the infectious agent, if known.
Codes for sinusitis are categorized based on whether the documentation indicates an acute or a chronic condition. The fourth character further defines the sinusitis based on the documented sinus es involved. This is a direct one-to-one ratio with identical definitions. For example: J32 Chronic sinusitis J32. For example: J01 Acute sinusitis J01. There is also a note at the beginning of category J32 to code additionally for any of the tobacco-related scenarios mentioned at the beginning of the chapter, as well as a reminder to code for any known infectious agents, if documented.
Just as in the existing diagnosis coding system, the fourth digit changes to specify location. The codes are presented logically, based on anatomy and clinical presentation. The codes for documented chronic sinusitis begin with category J32. Select Billable Codes to view only billable codes under J01 or select the Tabular List to view all codes under J01 in hierarchical order. List the acute condition first, followed by the code for the chronic condition. Chronic sinusitis: For chronic sinusitis, you will look to the J32. Then on the subsequent visit, once the pt is sent for testing and we have findings, can we then use a more specified code such as J32.
. If the documentation was reviewed, would it confirm the coding? Location of sinusitis Just like in the current diagnosis code set, the fourth digit changes to specify location. There are also two Excludes notes. Documentation must indicate the anatomy involved and specify whether the condition is acute, chronic, or both. Normally, sinuses are filled with air, but when sinuses become blocked and filled with fluid, germs bacteria, viruses, and fungi can grow and cause an infection. This would give the best clinical picture of a patient who has been diagnosed with chronic sinusitis and presents with an acute episode, as well.
Various theories give them the same function as nasal cavities. If the location of the affected sinus is determined, documentation and coding should reflect this finding. If you've forgotten your username or password use our. To start viewing messages, select the forum that you want to visit from the selection below. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7 th character, if applicable. A fifth character describes whether the acute condition is recurrent.
The sinuses are named for the facial bones in which they are located. A fourth character is required to indicate the sinus es affected. To view all forums, post or create a new thread, you must be an. . .
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