Acute pansinusitis
ICD-10 J01.4 is a used to indicate a diagnosis of acute pansinusitis.
Acute pansinusitis is characterized by the simultaneous inflammation of all paranasal sinuses, including the maxillary, frontal, ethmoid, and sphenoid sinuses. Clinically, patients may present with symptoms such as facial pain or pressure, nasal congestion, purulent nasal discharge, fever, and a reduced sense of smell. The condition often follows a viral upper respiratory infection, leading to obstruction of sinus drainage pathways and subsequent bacterial superinfection. Anatomically, the paranasal sinuses are air-filled spaces located within the bones of the skull, which communicate with the nasal cavity. Disease progression can lead to chronic sinusitis if not adequately treated, with potential complications including orbital cellulitis or intracranial infections. Diagnostic considerations include a thorough clinical history, physical examination, and, when necessary, imaging studies such as CT scans to assess sinus involvement and rule out other conditions. Laboratory tests may also be performed to identify the causative organism in cases of suspected bacterial infection.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J01.4 specifically covers acute pansinusitis, which involves inflammation of all paranasal sinuses. It is important to differentiate it from other types of sinusitis, such as acute maxillary or frontal sinusitis, which are coded separately.
J01.4 should be used when there is clear evidence of simultaneous involvement of all paranasal sinuses. If only one sinus is affected, a more specific code should be selected based on the clinical findings.
Documentation should include a detailed clinical history, physical examination findings, and any imaging results that confirm the diagnosis of acute pansinusitis. Notes should clearly indicate the symptoms and their duration.
