Is J01.3 a billable ICD-10-CM code?

No. J01.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does J01.3 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).

J01.3

J01.3 — Acute sphenoidal sinusitis

Non-billable headerICD-10-CM

J01.3 is a non-billable header ICD-10-CM code for acute sphenoidal sinusitis. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

J01.3 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead J01.3

2 child codes. Green means billable.

J01.30Acute sphenoidal sinusitis, unspecified
J01.31Acute recurrent sphenoidal sinusitis

Related codes at this level

Codes that share J01. If J01.3 is not quite right, the correct code is usually one of these.

J01.0Acute maxillary sinusitis
J01.1Acute frontal sinusitis
J01.2Acute ethmoidal sinusitis
J01.4Acute pansinusitis
J01.8Other acute sinusitis
J01.9Acute sinusitis, unspecified

Questions about J01.3

Is J01.3 a billable ICD-10-CM code?: No. J01.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does J01.3 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).