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

ICD-10 J34.2

Billable / Specific

Deviated nasal septum

J34
Block
1
Synonyms
353
LCDs
8
Payer Policies
1
Linked CPTs

About ICD-10-CM J34.2

ICD-10-CM code J34.2 represents Deviated nasal septum. This is a billable/specific code in the Respiratory System chapter (block J34). The 2026 edition of ICD-10-CM J34.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J34.2. Per CMS ICD-10-CM Tabular 2026.

  • Deflection or deviation of septum (nasal) (acquired)

Type 1 Excludes

Pure excludes, these codes can never be coded together with J34.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • congenital deviated nasal septum (Q67.4)

Medicare LCD Coverage for J34.2

Local Coverage Determinations (LCDs) from CMS MACs that list J34.2 as a covered diagnosis.

353 LCDs

Showing top 10 of 353 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J34.2.

8 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

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56587
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-58573
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-58774

CPT Codes Commonly Billed with J34.2

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

1 linkages
  • 30520 Septoplasty — deviated septum, mouth breathing, nasal obstruction, sleep apnea ENT

Convert J34.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J34.2 470 00000

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

ICD-10 J34.2, Billing FAQ

Is ICD-10 code J34.2 billable? +

Yes, J34.2 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 J34.2? +

ICD-10 J34.2 includes: Deflection or deviation of septum (nasal) (acquired).

What codes are Type 1 Excludes for J34.2? +

Type 1 Excludes (never code together with J34.2): congenital deviated nasal septum (Q67.4)

What CPT codes are commonly billed with J34.2? +

Procedures frequently paired with J34.2 include: 30520.

What ICD-9 codes does J34.2 map to? +

Per CMS GEMs, J34.2 maps to ICD-9 codes: 470. 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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