ICD Code J01.80

ICD code J01.80 is other acute sinusitis, which refers to a sudden onset infection or inflammation of the sinuses that does not fit into more specific categories of acute sinusitis.

1. Acute onset of symptoms consistent with sinusitis (less than 4 weeks in duration)

2. Presence of purulent nasal discharge

3. Nasal obstruction or congestion

4. Facial pain, pressure, or fullness localized to the affected sinus region

5. Possible associated symptoms such as fever, cough, dental pain, or hyposmia/anosmia

6. Clinical or radiologic evidence indicating involvement of sinuses other than maxillary, frontal, ethmoidal, or sphenoidal, or involvement of multiple sinuses not otherwise specified

7. Exclusion of chronic sinusitis (symptoms persisting longer than 12 weeks)

8. No evidence of a specific causative organism or condition that would be classified under a different code

Relevant CPT codes that may be used to treat ICD code J01.80 include:

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

- 31500 (Intubation, endotracheal, emergency procedure)

- 31231 (Nasal endoscopy, diagnostic, unilateral or bilateral)

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

- 69420 (Myringotomy including aspiration and/or eustachian tube inflation)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 90772 (Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular)

- 86580 (Tuberculosis, intradermal test)

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

- 87486 (Infectious agent detection by nucleic acid, sinus pathogen)

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

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