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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J01.80

Billable / Specific

Other acute sinusitis

J01
Block
1
Synonyms
47
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM J01.80

ICD-10-CM code J01.80 represents Other acute sinusitis. This is a billable/specific code in the Respiratory System chapter (block J01). The 2026 edition of ICD-10-CM J01.80 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J01.80. Per CMS ICD-10-CM Tabular 2026.

  • Acute sinusitis involving more than one sinus but not pansinusitis

Medicare LCD Coverage for J01.80

Local Coverage Determinations (LCDs) from CMS MACs that list J01.80 as a covered diagnosis.

47 LCDs

Showing top 10 of 47 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 86001 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95052 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95060 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95079 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95018 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57473, Effective: 2025-10-01 00:00:00, 3397 covered, 0 non-covered
CPT 95065 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J01.80.

4 policies

2 Cigna

Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554)
Policy ID: MM_0554
Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery - (0481)
Policy ID: MM_0481

2 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Allergy Testing
Policy ID: ART-57473

CPT Codes Commonly Billed with J01.80

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J01.80

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J01.80 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J01.80 4618 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J01.80, Billing FAQ

Is ICD-10 code J01.80 billable? +

Yes, J01.80 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J01.80? +

ICD-10 J01.80 includes: Acute sinusitis involving more than one sinus but not pansinusitis.

What ICD-9 codes does J01.80 map to? +

Per CMS GEMs, J01.80 maps to ICD-9 codes: 4618. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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