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

ICD-10 J34.3

Billable / Specific

Hypertrophy of nasal turbinates

J34
Block
0
Synonyms
23
LCDs
6
Payer Policies
1
Linked CPTs

About ICD-10-CM J34.3

ICD-10-CM code J34.3 represents Hypertrophy of nasal turbinates. This is a billable/specific code in the Respiratory System chapter (block J34). The 2026 edition of ICD-10-CM J34.3 became effective on October 1, 2025.

Medicare LCD Coverage for J34.3

Local Coverage Determinations (LCDs) from CMS MACs that list J34.3 as a covered diagnosis.

23 LCDs

Showing top 10 of 23 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Skin Testing
Article ID: 56559, Effective: 2025-10-01 00:00:00, 420 covered, 0 non-covered
CPT 95018 →
CMS LCD: Billing and Coding: Allergy Skin Testing
Article ID: 56559, Effective: 2025-10-01 00:00:00, 420 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Skin Testing
Article ID: 56559, Effective: 2025-10-01 00:00:00, 420 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Skin Testing
Article ID: 56559, Effective: 2025-10-01 00:00:00, 420 covered, 0 non-covered
CPT 95017 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J34.3.

6 policies

2 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Intranasal Ablation
Policy ID: CPB-0592

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: Allergy Skin Testing
Policy ID: ART-56559
Billing and Coding: Allergy Testing
Policy ID: ART-57473

CPT Codes Commonly Billed with J34.3

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

1 linkages
  • 31231 Nasal endoscopy diagnostic — acute sinusitis, chronic sinusitis, nasal polyps, septal deviation, epistaxis, nasal obstruction, nasal discharge ENT

Convert J34.3 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J34.3 4780 00000

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

ICD-10 J34.3, Billing FAQ

Is ICD-10 code J34.3 billable? +

Yes, J34.3 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 J34.3? +

Procedures frequently paired with J34.3 include: 31231.

What ICD-9 codes does J34.3 map to? +

Per CMS GEMs, J34.3 maps to ICD-9 codes: 4780. 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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