2025 ICD-10-CM code J32.0
(Active) Effective Date: N/A Diseases of the respiratory system - Other diseases of upper respiratory tract J00-J99 Feed
Chronic inflammation of the maxillary sinus.
Medical necessity for treatment of chronic maxillary sinusitis is established by the presence of persistent symptoms impacting the patient's quality of life, documented inflammation of the maxillary sinus, and failed conservative management.The chosen treatment approach should be appropriate for the severity and cause of the condition.
Diagnosis and treatment of chronic maxillary sinusitis typically falls under the purview of otolaryngologists (ENT specialists) or primary care physicians.Responsibilities include performing a physical examination, evaluating symptoms, ordering imaging studies (like CT scans) or nasal endoscopy if necessary, and determining an appropriate treatment plan. Treatment may involve medications like nasal corticosteroids, antibiotics, or decongestants, and in some cases, surgical intervention may be required.
In simple words: Chronic maxillary sinusitis means one of the sinuses in your cheekbones has been inflamed for a long time. This can cause headaches and tiredness.
Chronic maxillary sinusitis is a persistent inflammation of the maxillary sinus, one of the paranasal sinuses located in the cheekbones.It is characterized by prolonged inflammation and swelling of the sinus lining, often leading to mucus buildup and blockage.
Example 1: A patient presents with facial pain, pressure, and nasal congestion lasting for several months.A CT scan reveals inflammation and thickening of the maxillary sinus lining, confirming the diagnosis of chronic maxillary sinusitis., A patient with a history of recurrent acute maxillary sinusitis now experiences persistent symptoms despite multiple courses of antibiotics.Chronic maxillary sinusitis is diagnosed based on the prolonged duration of symptoms and imaging findings., A patient undergoes diagnostic nasal endoscopy, which reveals nasal polyps obstructing the maxillary sinus ostium, contributing to chronic maxillary sinusitis.
Documentation should include duration and nature of symptoms (facial pain, pressure, nasal discharge, congestion), results of physical examination (tenderness over sinuses, nasal examination findings), imaging studies (e.g., CT scan findings), and response to prior treatments. If nasal endoscopy is performed, a detailed operative report should be included.
- Specialties:Otolaryngology, Family Medicine, Internal Medicine
- Place of Service:Office, On Campus-Outpatient Hospital,Off Campus-Outpatient Hospital, Ambulatory Surgical Center