J33.1 — Polypoid sinus degeneration
J33.1 is a billable, specific ICD-10-CM code for polypoid sinus degeneration. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Woakes' syndrome or ethmoiditis
Other codes that can never be billed with J33.1
These codes carry an Excludes1 note pointing at J33.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J33.1 alone.
- J32.2Chronic ethmoidal sinusitis
Risk adjustment
J33.1 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
J33.1 is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57181Billing and Coding: Allergy Testing
- A57181Billing and Coding: Allergy Testing
How J33.1 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 J33.1.
- Woakes' ethmoiditis or syndrome
- Ethmoiditis›Woakes'
- Syndrome›Woakes'(ethmoiditis)
- Degeneration, degenerative›sinus›polypoid
Related codes at this level
Codes that share J33. If J33.1 is not quite right, the correct code is usually one of these.
Questions about J33.1
- Is J33.1 a billable ICD-10-CM code?
- Yes. J33.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J33.1 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Other diseases of upper respiratory tract (J30-J39).