Deviated nasal septum
ICD-10 J34.2 is a billable code used to indicate a diagnosis of deviated nasal septum.
A deviated nasal septum (DNS) occurs when the cartilage and bone that divide the nasal cavity are displaced to one side, leading to an asymmetric nasal passage. Clinically, patients may present with symptoms such as nasal obstruction, difficulty breathing, chronic sinusitis, and recurrent nasal infections. The anatomy involved includes the nasal septum, which is composed of the perpendicular plate of the ethmoid bone, the vomer bone, and the septal cartilage. Disease progression can lead to complications such as chronic rhinitis, sleep apnea, and impaired quality of life due to persistent nasal congestion. Diagnostic considerations include a thorough history and physical examination, often supplemented by nasal endoscopy or imaging studies like CT scans to assess the degree of deviation and associated complications. Treatment options range from conservative management, such as nasal corticosteroids, to surgical intervention (septoplasty) for severe cases, emphasizing the importance of accurate diagnosis and coding for effective patient management.
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
J34.2 specifically covers cases of deviated nasal septum that lead to nasal obstruction and related complications. It does not include other nasal disorders such as nasal polyps or chronic sinusitis unless they are directly related to the septal deviation.
J34.2 should be used when the primary issue is a deviated septum causing significant symptoms or complications. If the patient has other nasal conditions, such as polyps or chronic sinusitis, additional codes may be necessary to accurately reflect the patient's condition.
Documentation should include a detailed history of symptoms, physical examination findings, and any imaging studies that confirm the diagnosis of a deviated septum. Treatment plans and responses to previous therapies should also be documented.
