Chronic sinusitis
ICD-10 J32 is a used to indicate a diagnosis of chronic sinusitis.
Chronic sinusitis, classified under ICD-10 code J32, is characterized by the prolonged inflammation of the sinus mucosa, typically lasting more than 12 weeks. The condition can affect various sinuses, including the maxillary, frontal, ethmoid, and sphenoid sinuses. Patients often present with symptoms such as nasal congestion, facial pain or pressure, reduced sense of smell, and purulent nasal discharge. The underlying anatomy involved includes the paranasal sinuses, which are air-filled spaces that connect to the nasal cavity and play a crucial role in respiratory function. Chronic sinusitis may develop following an acute sinus infection, allergic rhinitis, or anatomical abnormalities such as nasal polyps or deviated septum. Diagnosis is often confirmed through clinical evaluation, imaging studies like CT scans, and sometimes nasal endoscopy. Treatment typically involves a combination of medications, including nasal corticosteroids, saline irrigation, and antibiotics if a bacterial infection is suspected. In some cases, surgical intervention may be necessary to restore normal drainage and ventilation of the sinuses.
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
J32 encompasses chronic sinusitis, which may include chronic maxillary sinusitis, chronic frontal sinusitis, chronic ethmoid sinusitis, and chronic sphenoid sinusitis. Each subtype is defined by the specific sinus involved and the duration of symptoms.
J32 should be used when the patient has chronic sinusitis symptoms persisting for 12 weeks or longer, as opposed to acute sinusitis (J01), which is characterized by a shorter duration of symptoms.
Documentation should include a detailed history of symptoms, physical examination findings, imaging results, and any previous treatments attempted. Evidence of chronicity and the impact on the patient's quality of life should also be included.
