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

ICD-10 J33

Non-Billable Header

Nasal polyp

J33
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM J33

ICD-10-CM code J33 represents Nasal polyp. This is a non-billable header code in the Respiratory System chapter (block J33). The 2026 edition of ICD-10-CM J33 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Type 1 Excludes

Pure excludes, these codes can never be coded together with J33. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • adenomatous polyps (D14.0)

Medicare LCD Coverage for J33

Local Coverage Determinations (LCDs) from CMS MACs that list J33 as a covered diagnosis.

No Medicare LCDs reference J33 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J33.

No commercial payer policies reference J33 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J33 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with J33

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

No procedure linkages on file for J33

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.

ICD-10 J33, Billing FAQ

Is ICD-10 code J33 billable? +

No, J33 is a non-billable header code. Use a more specific child code from block J33 when submitting claims.

What codes are Type 1 Excludes for J33? +

Type 1 Excludes (never code together with J33): adenomatous polyps (D14.0)

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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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