2025 ICD-10-CM code J32.4
Chronic pansinusitis. Pansinusitis NOS.
Medical necessity for treatment of chronic pansinusitis is established by documenting persistent symptoms despite conservative management, significant impairment of quality of life due to sinus issues, and evidence of chronic inflammation in all sinuses confirmed by imaging.
The clinician is responsible for diagnosing chronic pansinusitis based on patient history, physical examination, and imaging studies (like CT scans).They must also identify and manage underlying causes, such as allergies or structural abnormalities, and provide appropriate treatment, which could include medications or surgery.
- J00-J99 Diseases of the respiratory system
- J32 Chronic sinusitisJ32.0 Chronic maxillary sinusitisJ32.1 Chronic frontal sinusitisJ32.2 Chronic ethmoidal sinusitisJ32.3 Chronic sphenoidal sinusitisJ32.4 Chronic pansinusitisJ32.8 Other chronic sinusitisJ32.9 Chronic sinusitis, unspecified
In simple words: Chronic pansinusitis is a long-lasting infection of all your sinuses, the air-filled spaces in the bones around your nose.
Chronic pansinusitis is a persistent inflammation affecting all the paranasal sinuses.It's characterized by prolonged inflammation and may be caused by infections, allergies, or structural issues within the sinuses.
Example 1: A patient presents with persistent nasal congestion, facial pain and pressure, and thick nasal discharge lasting for several months. A CT scan reveals inflammation in all paranasal sinuses, confirming the diagnosis of chronic pansinusitis., A patient with a history of allergies experiences recurrent episodes of sinusitis. Despite allergy treatment, their symptoms persist, and imaging shows chronic inflammation across all sinuses, leading to a diagnosis of chronic pansinusitis., A patient with a deviated septum develops chronic pansinusitis due to impaired sinus drainage.Surgical correction of the septum is considered to address the underlying structural issue contributing to the chronic sinus inflammation.
Documentation should include details of the patient's symptoms (duration, character, severity), history of previous sinus infections or allergies, physical exam findings (nasal examination, tenderness), and results of imaging studies confirming the involvement of all paranasal sinuses.The documentation should also specify any contributing factors like structural abnormalities (deviated septum, nasal polyps) or underlying medical conditions.
** Excludes1: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy (O00-O9A), congenital malformations (Q00-Q99), endocrine/nutritional/metabolic diseases (E00-E88), injury/poisoning (S00-T88), neoplasms (C00-D49), smoke inhalation (T59.81-), symptoms/signs/abnormal findings (R00-R94).
- Payment Status: Active
- Specialties:Otolaryngology (ENT), Allergy and Immunology, Pulmonology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital,Federally Qualified Health Center