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 CodesJ33.1

J33.1

Polypoid sinus degeneration

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

Code Description

ICD-10 J33.1 is a billable code used to indicate a diagnosis of polypoid sinus degeneration.

Key Diagnostic Point:

Polypoid sinus degeneration, classified under the ICD-10 code J33.1, refers to the development of polyp-like growths within the sinus cavities, often associated with chronic sinusitis. Clinically, patients may present with nasal obstruction, facial pain or pressure, reduced sense of smell, and nasal discharge. The condition primarily affects the paranasal sinuses, which are air-filled spaces located around the nasal cavity. Over time, these polyps can obstruct sinus drainage pathways, leading to further inflammation and infection. Diagnostic considerations include a thorough patient history, physical examination, and imaging studies such as CT scans to visualize the extent of sinus involvement. Endoscopic examination may also be utilized to assess the nasal passages directly. It is essential to differentiate polypoid degeneration from other sinus conditions, such as allergic fungal sinusitis or neoplastic processes, to ensure appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires imaging and possibly endoscopic evaluation.
  • Treatment complexity: May involve medical management with corticosteroids or surgical intervention.
  • Documentation requirements: Detailed clinical notes and imaging reports are necessary.
  • Coding specificity: Requires accurate identification of the condition to avoid misclassification.

Audit Risk Factors

  • Common coding errors: Misidentification of polyp type or location.
  • Documentation gaps: Incomplete clinical notes or lack of imaging documentation.
  • Billing challenges: Denials may arise from insufficient evidence of medical necessity for procedures.

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

Allergy and Immunology

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

Polypoid sinus degeneration can significantly impact patient quality of life, leading to chronic symptoms that affect daily activities. It is prevalent in populations with chronic sinusitis and can contribute to increased healthcare utilization, including frequent visits to specialists and potential surgical interventions. Understanding the epidemiology of this condition is crucial for developing effective management strategies and improving population health outcomes.

ICD-9 vs ICD-10

Polypoid sinus degeneration can significantly impact patient quality of life, leading to chronic symptoms that affect daily activities. It is prevalent in populations with chronic sinusitis and can contribute to increased healthcare utilization, including frequent visits to specialists and potential surgical interventions. Understanding the epidemiology of this condition is crucial for developing effective management strategies and improving population health outcomes.

Reimbursement & Billing Impact

reimbursement for procedures related to polypoid sinus degeneration.

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 J33.1?

J33.1 specifically covers polypoid degeneration of the sinuses, which may be associated with chronic rhinosinusitis. It does not include other types of nasal polyps or conditions such as allergic rhinitis.

When should J33.1 be used instead of related codes?

J33.1 should be used when there is clear evidence of polypoid degeneration in the sinuses, particularly when imaging studies confirm the diagnosis. It is essential to differentiate it from other sinus conditions to ensure accurate coding.

What documentation supports J33.1?

Documentation should include a detailed patient history, physical examination findings, imaging results (CT scans), and any endoscopic findings that confirm the presence of polypoid degeneration.