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    v1.0.28
    OpenPayerBilling CodesOther diseases of upper respiratory tractICD-10-CM j32-chronic-sinusitis
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    ICD-10-CM Code For Chronic Sinusitis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J32 includes chronic sinusitis diagnoses that specify long-standing inflammation of the paranasal sinuses, with subtypes for maxillary, frontal, ethmoid, sphenoid, and pansinusitis. These ICD-10-CM diagnosis codes are used to document persistent sinonasal disease, recurrent infections, and chronic inflammatory changes that may include nasal polyps, mucosal thickening, or complications. Accurate coding within the ICD-10-CM J32 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM J32: Chronic Sinusitis Overview

    The ICD-10-CM J32 code group covers chronic inflammation of the paranasal sinuses lasting more than 12 weeks, often with recurrent or persistent symptoms such as nasal obstruction, facial pain, and purulent nasal discharge. These diagnoses target the upper respiratory tract and adjacent structures, including maxillary, frontal, ethmoid, and sphenoid sinuses. Accurate coding matters for reimbursement because it supports precise clinical documentation of chronicity, anatomic involvement, and complications that affect care planning and claim adjudication.

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    When to Use

    Use a code from this group when a clinician documents chronic sinusitis lasting twelve weeks or longer or recurrent episodes consistent with chronic sinonasal inflammation. Select the code that specifies the affected sinus site and any noted complications or associated conditions such as nasal polyps when documented.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    J32.0Chronic maxillary sinusitis
    J32.1Chronic frontal sinusitis
    J32.2Chronic ethmoidal sinusitis
    J32.3Chronic sphenoidal sinusitis
    J32.4Chronic pansinusitis
    J32.8Other chronic sinusitis
    J32.9Chronic sinusitis, unspecified

    DRG Codes

    2 rows

    DRG CodeDescription
    152Otitis Media and URI with MCC
    153Otitis Media and URI without MCC

    Typical Clinical Scenarios

    • An adult with a year-long history of nasal congestion, purulent nasal discharge, facial pressure worsening with sinus tenderness on exam, and recurrent symptom flares despite multiple courses of antibiotics and intranasal corticosteroids presents for chronic management; imaging (CT sinus) confirms mucosal thickening in multiple sinuses consistent with long-standing inflammation, so a chronic sinusitis code is assigned. Typical codes: J32.4, J32.9
    • A child with persistent unilateral nasal obstruction and foul-smelling discharge for several months is evaluated by ENT after failure of conservative therapy; nasal endoscopy shows chronic rhinosinusitis localized to the maxillary sinus with polypoid change, prompting a focused chronic sinusitis diagnosis reflecting site-specific disease. Typical codes: J32.0, J32.3
    • An adult with cystic fibrosis presents during routine follow-up with worsening chronic sinonasal symptoms, increased postnasal drip, and culture-proven bacterial colonization complicating their baseline condition; because the sinonasal disease reflects long-term inflammatory change and contributes to their comorbid respiratory disease burden, a chronic sinusitis code is used to capture the comorbidity. Typical codes: J32.8, J32.9

    Related Codes

    J30-VASOMOTOR-AND-ALLERGIC-RHINITIS

    ICD-10-CM Code For Vasomotor And Allergic Rhinitis: Group Overview

    J31-CHRONIC-RHINITIS-NASOPHARYNGITIS-PHARYNGITIS

    ICD-10-CM Code For Chronic Rhinitis Nasopharyngitis And Pharyngitis: Group Overview

    J33-NASAL-POLYP

    ICD-10-CM Code For Nasal Polyp: Group Overview

    J34-OTHER-AND-UNSPECIFIED-NASAL-DISORDERS

    ICD-10-CM Code For Other And Unspecified Disorders Of Nose And Nasal Sinuses: Group Overview

    J35-CHRONIC-DISEASES-OF-TONSILS-AND-ADENOIDS

    ICD-10-CM Code For Chronic Diseases Of Tonsils And Adenoids: Group Overview

    J36-PERITONSILLAR-ABSCESS

    ICD-10-CM Code For Peritonsillar Abscess: Group Overview

    J37-CHRONIC-LARYNGITIS-AND-LARYNGOTRACHEITIS

    ICD-10-CM Code For Chronic Laryngitis And Laryngotracheitis: Group Overview

    J38-DISEASES-OF-VOCAL-CORDS-AND-LARYNX

    ICD-10-CM Code For Diseases Of Vocal Cords And Larynx: Group Overview

    J39-OTHER-DISEASES-OF-UPPER-RESPIRATORY-TRACT

    ICD-10-CM Code For Other Diseases Of Upper Respiratory Tract: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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