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

ICD-10 J01.90

Billable / Specific

Acute sinusitis, unspecified

J01
Block
0
Synonyms
47
LCDs
4
Payer Policies
2
Linked CPTs

About ICD-10-CM J01.90

ICD-10-CM code J01.90 represents Acute sinusitis, unspecified. This is a billable/specific code in the Respiratory System chapter (block J01). The 2026 edition of ICD-10-CM J01.90 became effective on October 1, 2025.

Medicare LCD Coverage for J01.90

Local Coverage Determinations (LCDs) from CMS MACs that list J01.90 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 J01.90.

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 J01.90

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

2 linkages
  • 99212 Established patient — URI, UTI, pharyngitis, otitis, dermatitis, rash, viral infection, cellulitis, conjunctivitis, sinusitis, bronchitis, ankle sprain Primary Care
  • 31231 Nasal endoscopy diagnostic — acute sinusitis, chronic sinusitis, nasal polyps, septal deviation, epistaxis, nasal obstruction, nasal discharge ENT

Convert J01.90 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J01.90 4619 10000

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

ICD-10 J01.90, Billing FAQ

Is ICD-10 code J01.90 billable? +

Yes, J01.90 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with J01.90? +

Procedures frequently paired with J01.90 include: 99212, 31231.

What ICD-9 codes does J01.90 map to? +

Per CMS GEMs, J01.90 maps to ICD-9 codes: 4619. 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 June 1, 2026.

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