Code: J32.9
Description: Chronic sinusitis, unspecified
Context: This code applies to patients with sinus inflammation lasting longer than 12 weeks without a specified sinus location.
Guidelines for Proper Use
- Chronic condition: Use for long-standing sinus infections that persist beyond 12 weeks.
- Unspecified site: Apply when documentation does not specify the affected sinus.
- Associated symptoms: Commonly includes nasal blockage, postnasal drip, facial pressure, and decreased smell.
- Differentiate from acute: Do not use for sinus infections lasting under 4 weeks.
- Often requires ENT follow-up: Typically evaluated through nasal endoscopy or CT scan.
Common Misuses of J32.9
- Incorrectly used for acute cases: Use J01.90 for acute infections.
- Insufficient documentation: Providers must note chronicity and failed prior treatments.
- Omitting underlying causes: Coexisting allergic rhinitis or deviated septum should be separately coded.
- Using without imaging or ENT confirmation: Persistent cases often need specialist documentation.
Notes / Documentation Tips
- State duration: Document symptom length (≥12 weeks).
- List failed therapies: Include previous antibiotics or nasal steroid use.
- Describe sinus findings: Endoscopic or imaging evidence supports coding accuracy.
- Include impact: Note chronic symptoms affecting breathing or quality of life.
- Mention comorbidities: Such as asthma or nasal polyps, if present.
