J33.1

J33.1: Polypoid sinus degeneration

Billable / specific codeICD-10-CM

J33.1 is a billable, specific ICD-10-CM code for polypoid sinus degeneration. It is valid for submission on a claim.

Check J33.1 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Woakes' syndrome or ethmoiditis

Excludes1 inherited from the categories above J33.1

A category’s note binds every code beneath it.

Written on J33: Nasal polyp

adenomatous polyps (D14.0)

Other codes that can never be billed with J33.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

D14.0Benign neoplasm of middle ear, nasal cavity and accessory sinuses
J32.2Chronic ethmoidal sinusitis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

J33.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

Alphabetic index entries that lead here

Woakes' ethmoiditis or syndrome
Ethmoiditis›Woakes'
Syndrome›Woakes'(ethmoiditis)
Degeneration, degenerative›sinus›polypoid

Code history

Unchanged in every release from FY2024 to FY2027.