2025 ICD-10-CM code J32.8
Chronic sinusitis involving more than one sinus but not pansinusitis.
Medical necessity for services related to J32.8 is established when the documentation supports a diagnosis of chronic sinusitis affecting more than one sinus, but not all sinuses.The documentation must demonstrate the severity of symptoms and that conservative treatments have been unsuccessful or are contraindicated.The medical necessity must be clearly documented to justify further interventions such as surgery or other procedures.
In simple words: You have long-term inflammation in several of your sinuses. Sinuses are air-filled spaces in your skull. They make your head lighter and affect how your voice sounds.Air gets warmed and moistened in your sinuses. The sinuses are lined with a moist, smooth membrane called a mucous membrane. This membrane makes fluid that drains into your nose through small openings.In chronic sinusitis, this drainage is blocked, and fluid builds up in the sinuses, potentially causing headaches and fatigue.
Other chronic sinusitis.Sinusitis (chronic) involving more than one sinus but not pansinusitis. Includes: sinus abscess, sinus empyema, sinus infection, sinus suppuration. Excludes2: acute sinusitis (J01.-)
Example 1: A patient presents with a history of facial pain, pressure, and nasal congestion lasting for several months. Examination reveals tenderness over the maxillary and ethmoid sinuses.A CT scan confirms inflammation in both sinuses, consistent with chronic sinusitis.The patient has tried various treatments without relief. J32.8 is the appropriate diagnosis code., A 45-year-old patient experiences persistent nasal discharge, headaches, and facial pain for over 12 weeks. After examination and imaging, the physician diagnoses chronic sinusitis involving the frontal and sphenoid sinuses.Since it affects more than one sinus, but not all sinuses, J32.8 is used., A patient with a history of allergies and recurrent sinus infections presents with ongoing symptoms despite multiple courses of antibiotics.Imaging studies show chronic inflammation in the ethmoid and maxillary sinuses.The physician diagnoses chronic sinusitis, and the appropriate ICD-10 code is J32.8.
Documentation should specify the affected sinuses (e.g., maxillary, ethmoid), duration of symptoms (greater than 12 weeks for chronic sinusitis), and treatments tried. Imaging reports and clinical findings supporting the diagnosis should also be included.
** Consider using Z77.22 for exposure to environmental tobacco smoke if relevant.
- Specialties:Otolaryngology, Family Medicine, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital