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

ICD-10 J33.0

Billable / Specific

Polyp of nasal cavity

J33
Block
2
Synonyms
155
LCDs
16
Payer Policies
2
Linked CPTs

About ICD-10-CM J33.0

ICD-10-CM code J33.0 represents Polyp of nasal cavity. This is a billable/specific code in the Respiratory System chapter (block J33). The 2026 edition of ICD-10-CM J33.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J33.0. Per CMS ICD-10-CM Tabular 2026.

  • Choanal polyp
  • Nasopharyngeal polyp

Medicare LCD Coverage for J33.0

Local Coverage Determinations (LCDs) from CMS MACs that list J33.0 as a covered diagnosis.

155 LCDs

Showing top 10 of 155 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 82785 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Diagnostic Testing
Article ID: 60390, Effective: , 814 covered, 0 non-covered
CPT 86003 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J33.0.

16 policies

3 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Septoplasty and Rhinoplasty - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0005
Omalizumab
Policy ID: CPB-0670

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

5 Medicare

Billing and Coding: Omalizumab and biosimilar, OMLYCLO� (omalizumab-igec)
Policy ID: ART-52448
Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Allergy Skin Testing
Policy ID: ART-56559
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Allergy Testing
Policy ID: ART-57181

CPT Codes Commonly Billed with J33.0

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

2 linkages
  • Q5154 CMS LCD: Billing and Coding: Omalizumab and biosimilar, OMLYCLO� (omalizumab-igec) CMS LCD
  • J2357 CMS LCD: Billing and Coding: Omalizumab and biosimilar, OMLYCLO� (omalizumab-igec) CMS LCD

Convert J33.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J33.0 4710 00000

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

ICD-10 J33.0, Billing FAQ

Is ICD-10 code J33.0 billable? +

Yes, J33.0 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 J33.0? +

ICD-10 J33.0 includes: Choanal polyp; Nasopharyngeal polyp.

What CPT codes are commonly billed with J33.0? +

Procedures frequently paired with J33.0 include: Q5154, J2357.

What ICD-9 codes does J33.0 map to? +

Per CMS GEMs, J33.0 maps to ICD-9 codes: 4710. 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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