ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesJ01.80

J01.80

Other acute sinusitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J01.80 is a billable code used to indicate a diagnosis of other acute sinusitis.

Key Diagnostic Point:

J01.80 refers to 'Other acute sinusitis,' a condition characterized by inflammation of the paranasal sinuses that occurs suddenly and lasts for a short duration. Clinically, patients may present with symptoms such as nasal congestion, facial pain or pressure, purulent nasal discharge, fever, and reduced sense of smell. The anatomy involved includes the frontal, maxillary, ethmoid, and sphenoid sinuses, which can become obstructed due to viral infections, allergies, or anatomical variations. Disease progression can lead to complications such as chronic sinusitis if not adequately treated. Diagnostic considerations include a thorough history and physical examination, nasal endoscopy, and imaging studies like CT scans to assess sinus involvement and rule out other conditions. It is essential to differentiate J01.80 from other acute sinusitis codes, such as J01.00 (acute maxillary sinusitis) and J01.10 (acute frontal sinusitis), based on the specific sinuses affected and the presence of complications.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other respiratory conditions and chronic sinusitis.
  • Treatment complexity: May involve antibiotics, nasal corticosteroids, or referral to specialists for severe cases.
  • Documentation requirements: Detailed clinical notes are necessary to support the diagnosis and treatment plan.
  • Coding specificity: Requires accurate identification of the sinus involved and any associated complications.

Audit Risk Factors

  • Common coding errors: Misclassification of sinusitis type or failure to document the specific sinuses involved.
  • Documentation gaps: Incomplete clinical notes that do not support the diagnosis or treatment.
  • Billing challenges: Potential denials if documentation does not clearly justify the medical necessity of services rendered.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute sinusitis, including J01.80, significantly impacts population health due to its prevalence and potential to lead to chronic conditions. It affects healthcare utilization patterns, with many patients seeking care for respiratory symptoms. Quality measures related to sinusitis management focus on appropriate antibiotic use and symptom resolution, which are crucial for improving patient outcomes and reducing healthcare costs.

ICD-9 vs ICD-10

Acute sinusitis, including J01.80, significantly impacts population health due to its prevalence and potential to lead to chronic conditions. It affects healthcare utilization patterns, with many patients seeking care for respiratory symptoms. Quality measures related to sinusitis management focus on appropriate antibiotic use and symptom resolution, which are crucial for improving patient outcomes and reducing healthcare costs.

Reimbursement & Billing Impact

Reimbursement considerations include the necessity of imaging studies and the use of medications. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for treatments. Best practices include ensuring that all clinical notes are thorough and that any procedures are clearly linked to the diagnosis of acute sinusitis.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J01.80?

J01.80 encompasses acute sinusitis not classified elsewhere, including cases where the specific sinus involved is not identified or when multiple sinuses are affected without a clear primary site.

When should J01.80 be used instead of related codes?

Use J01.80 when the acute sinusitis does not fit the criteria for more specific codes like J01.00 or J01.10, particularly when the exact sinus involvement is unclear or when multiple sinuses are affected.

What documentation supports J01.80?

Documentation should include a detailed history of symptoms, physical examination findings, any imaging results, and treatment plans that justify the diagnosis of acute sinusitis.