J34.1

J34.1: Cyst and mucocele of nose and nasal sinus

Billable / specific codeICD-10-CM

J34.1 is a billable, specific ICD-10-CM code for cyst and mucocele of nose and nasal sinus. It is valid for submission on a claim.

Check J34.1 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above J34.1

Not part of this code, but both may be coded when both are present.

Written on J34: Other and unspecified disorders of nose and nasal sinuses

varicose ulcer of nasal septum (I86.8)

Risk adjustment

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

Medicare coverage

J34.1 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56587Billing and Coding: Cosmetic and Reconstructive Surgery
A56658Billing and Coding: Cosmetic and Reconstructive Surgery
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
A57221Billing and Coding: Plastic Surgery

Alphabetic index entries that lead here

Cyst›antrum
Cyst›ethmoid sinus
Cyst›frontal sinus
Cyst›nose(turbinates)
Cyst›sinus(accessory) (nasal)
Cyst›sphenoid sinus
Cyst›turbinate(nose)
Mucocele›nasal sinus
Mucocele›nose
Mucocele›sinus(accessory) (nasal)
Mucocele›turbinate(bone) (middle) (nasal)
Cyst›nose›sinus

Code history

Unchanged in every release from FY2024 to FY2027.