2025 ICD-10-CM code J34.0
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the respiratory system - Other diseases of upper respiratory tract (J30-J39) Diseases of the respiratory system (J00-J99) Feed
Abscess, furuncle, and carbuncle of the nose.
Medical necessity for treatment of J34.0 would be established by documentation of a localized infection causing significant pain, swelling, or functional impairment.The infection may pose a risk of systemic spread, further justifying treatment.
The clinical responsibility would depend on the provider's specialty and the severity of the infection. It could involve an ENT specialist, primary care physician, or dermatologist. The provider's duties might include physical examination, diagnostic tests (culture and sensitivity testing), and prescription of antibiotics or incision and drainage if an abscess is present. In severe cases, surgical intervention may be necessary.
In simple words: This code describes an infection on the nose that might cause a swollen, red, and painful area with pus.This could be a boil, a cluster of boils, or a pocket of pus.
This ICD-10-CM code classifies various infections affecting the nose, including abscesses (localized collections of pus), furuncles (boils), and carbuncles (clusters of boils).These conditions are characterized by localized swelling, redness, pain, and the potential for pus formation. The location is specifically limited to the nasal structures.
Example 1: A patient presents with a painful, swollen area on their nose with a visible area of redness and pus.A culture confirms a bacterial infection. The provider diagnoses a nasal furuncle and initiates treatment with antibiotics., A patient develops a carbuncle on their nose following a minor injury.The carbuncle is large and painful, requiring incision and drainage under local anesthesia. The provider documents the procedure and the microbiology results., A patient with chronic nasal inflammation presents with a localized abscess. The provider performs an incision and drainage and sends samples for culture and sensitivity. This is part of a larger clinical picture, potentially requiring the use of additional codes.
Detailed description of the lesion(s) including size, location, presence of pus, and associated symptoms.Results of any cultures and sensitivity testing.Documentation of the treatment plan and the response to treatment.If an incision and drainage procedure was performed, detailed operative notes are essential.
** Careful differential diagnosis is required to distinguish between J34.0 and other nasal conditions such as cellulitis.The clinical picture should guide code selection.
- Payment Status: Active
- Specialties:Otolaryngology, Dermatology, Primary Care
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital, Urgent Care Facility