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ICD-10 Guide
ICD-10 CodesJ01.81

J01.81

Other acute recurrent sinusitis

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

Code Description

ICD-10 J01.81 is a billable code used to indicate a diagnosis of other acute recurrent sinusitis.

Key Diagnostic Point:

J01.81 refers to other acute recurrent sinusitis, a condition characterized by the inflammation of the sinus cavities that occurs repeatedly over a short period. Clinically, patients may present with symptoms such as nasal congestion, facial pain or pressure, purulent nasal discharge, and reduced sense of smell. The anatomy involved includes the paranasal sinuses, which are air-filled spaces located in the skull that help with voice resonance and humidifying inhaled air. Disease progression can vary; acute recurrent sinusitis may follow an upper respiratory infection or be triggered by allergens, environmental irritants, or anatomical variations. Diagnostic considerations include a thorough patient history, physical examination, and possibly imaging studies like CT scans to assess sinus involvement. Differentiating acute recurrent sinusitis from chronic sinusitis or other respiratory conditions is crucial for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity
  • Treatment complexity
  • Documentation requirements
  • Coding specificity

Audit Risk Factors

  • Common coding errors
  • Documentation gaps
  • Billing challenges

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

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute recurrent sinusitis significantly impacts patient quality of life, leading to increased healthcare utilization and costs. It is a common condition affecting a substantial portion of the population, often resulting in missed workdays and decreased productivity. Understanding the epidemiology of this condition can help healthcare providers implement effective management strategies and improve patient outcomes.

ICD-9 vs ICD-10

Acute recurrent sinusitis significantly impacts patient quality of life, leading to increased healthcare utilization and costs. It is a common condition affecting a substantial portion of the population, often resulting in missed workdays and decreased productivity. Understanding the epidemiology of this condition can help healthcare providers implement effective management strategies and improve patient outcomes.

Reimbursement & Billing Impact

Acute recurrent sinusitis significantly impacts patient quality of life, leading to increased healthcare utilization and costs. It is a common condition affecting a substantial portion of the population, often resulting in missed workdays and decreased productivity. Understanding the epidemiology of this condition can help healthcare providers implement effective management strategies and improve patient outcomes.

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 J01.81?

J01.81 covers cases of acute recurrent sinusitis that do not fit into the more specific categories of acute sinusitis. This includes patients experiencing multiple episodes of acute sinusitis within a year, often characterized by similar symptoms but not meeting the criteria for chronic sinusitis.

When should J01.81 be used instead of related codes?

J01.81 should be used when a patient has recurrent episodes of acute sinusitis that are distinct from chronic sinusitis or other types of sinusitis. It is important to document the frequency and severity of episodes to justify the use of this code.

What documentation supports J01.81?

Documentation for J01.81 should include a detailed history of recurrent sinusitis episodes, symptom descriptions, treatment responses, and any imaging studies that support the diagnosis. Clear notes on the duration and frequency of episodes are essential.