Documentation must indicate the anatomy involved and specify whether the condition is acute, chronic, or both. For example: J32 Chronic sinusitis J32. A fourth character is required to indicate the sinus es affected. The sinuses are named for the facial bones in which they are located. Various theories give them the same function as nasal cavities. There are also two Excludes notes. Codes for acute sinusitis begin with category J01.
. This interferes with drainage and causes mucus to build up. Anyone who has experienced sinusitis can identify with the pain associated with the swelling. Out of over four million diagnosis codes assigned in a one year period, -9 code population placing the code 784. The above description is abbreviated. The codes are presented logically, based on anatomy and clinical presentation.
If the location of the affected sinus is determined, documentation and coding should reflect this finding. Codes for sinusitis are categorized based on whether the documentation indicates an acute or a chronic condition. G10-G14 Systemic atrophies primarily affecting the central nervous system. A fifth character describes whether the acute condition is recurrent. 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? List the acute condition first, followed by the code for the chronic condition. 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. For example: J01 Acute sinusitis J01.
It's a major reason people miss days at work or school or visit the doctor. This code description may also have. The fourth character further defines the sinusitis based on the documented sinus es involved. First, there is a statement to use an additional code to identify the infectious agent, if known. If the documentation was reviewed, would it confirm the coding? 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. Valid for Submission The code G44. 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.
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. Or would documentation provide further information to define the specific location? It can be a symptom of a number of different conditions of the head. The codes for documented chronic sinusitis begin with category J32. . .
. . . . . . .
. . . . . . .
. . . . . .
. . . . . .