ICD Code J01-

ICD code J01- is acute sinusitis, which refers to a sudden onset infection or inflammation of the sinuses.

1. Acute onset of symptoms such as nasal congestion, purulent nasal discharge, and facial pain or pressure.

2. Symptoms persisting for less than four weeks.

3. Evidence of inflammation in the nasal cavity and paranasal sinuses, confirmed by clinical examination or imaging.

4. Presence of fever, malaise, or dental pain may be noted.

5. Physical findings such as tenderness over the affected sinus, erythema or swelling of the nasal mucosa, and reduced or absent transillumination of the sinuses.

6. Exclusion of chronic or recurrent sinusitis (symptoms lasting longer than 12 weeks or with multiple episodes per year).

7. Absence of underlying immunodeficiency or anatomical abnormalities unless specified as a complicating factor.

Relevant CPT codes that may be used to treat ICD code J01- include:

- 99201–99215 (Office or other outpatient evaluation and management services)

- 99281–99285 (Emergency department visits)

- 92511 (Nasopharyngoscopy with endoscope)

- 31231 (Nasal endoscopy, diagnostic)

- 31237 (Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement)

- 31575 (Laryngoscopy, flexible fiberoptic; diagnostic)

- 69420 (Myringotomy; with insertion of tube)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96365 (Intravenous infusion, for therapy/diagnosis)

- 86580 (Tuberculosis, intradermal test)

- 87070 (Culture, bacterial; any other source except urine, blood or stool)

- 87486 (Infectious agent detection by nucleic acid, Streptococcus, direct probe technique)

CPT code selection should be based on the specific services rendered and clinical scenario.

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