J01.80 — Other acute sinusitis
J01.80 is a billable, specific ICD-10-CM code for other acute sinusitis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute sinusitis involving more than one sinus but not pansinusitis
Risk adjustment
J01.80 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.
Medicare coverage
J01.80 is named in 3 Medicare coverage policies — 3 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
- A57473Billing and Coding: Allergy Testing
- A57473Billing and Coding: Allergy Testing
How J01.80 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J01.80.
- Sinusitis›acute›involving more than one sinus, other than pansinusitis
- Sinusitis›acute›specified NEC
- Sinusitis›involving more than one sinus but not pansinusitis›acute
Related codes at this level
Codes that share J01.8. If J01.80 is not quite right, the correct code is usually one of these.
Questions about J01.80
- Is J01.80 a billable ICD-10-CM code?
- Yes. J01.80 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J01.80 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).