J32 ICD-10-CM Code: Chronic sinusitis
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Diseases of the respiratory system (J00-J99) / Other diseases of upper respiratory tract (J30-J39)
J32
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceChronic sinusitis
Chronic sinusitis
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
Basket needed
Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for J32 in this effective period.
Excludes 2
Official- acute sinusitis (J01.-)
Related Child Codes
Includes
Official- sinus abscess
- sinus empyema
- sinus infection
- sinus suppuration
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for J32 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for J32 in this effective period.
Use Additional
Official- code to identify:
- infectious agent (B95-B97)
Code Also
OfficialICD-10-CM does not list Code Also instructions for J32 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
What This Code Means
J32 is the ICD-10-CM diagnosis code for chronic sinusitis. J32 sits in the ICD-10-CM chapter for diseases of the respiratory system (j00-j99), within the section covering other diseases of upper respiratory tract (j30-j39).
Header codes like J32 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at J32's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for J32 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Includes
- sinus abscess
- sinus empyema
- sinus infection
- sinus suppuration
Excludes 2, Not included here, may code separately
- acute sinusitis (J01.-)