2024 ICD-10-CM Diagnosis Code J34.0

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Abscess of external nose
• Abscess of nasal cavity
• Abscess of nasal septum
• Abscess of nose
• Boil of external nose
• Carbuncle of face
• Carbuncle of face
• Carbuncle of nasal septum
• Carbuncle of nose
• Cellulitis and abscess of face
• Cellulitis and abscess of nose
• Cellulitis of external nose
• Cellulitis of nasal mucous membrane
• Classical histoplasmosis mucosal ulceration
• Classical histoplasmosis nasal ulceration
• Finding of appearance of nasal mucosa
• Furuncle of face
• Furuncle of nasal cavity
• Furuncle of nasal septum
• Injury of nasal cavity
• Nasal vestibulitis
• Necrosis of nasal septum
• Necrosis of nasal turbinates
• Necrosis of nose
• Skin ulcer of nose
• Ulcer of nasal septum
• Ulcer of nose
• Ulcer of nose
• Ulcer of skin of face
• Ulcerated nasal mucosa

J34.0 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
154	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC	03	1.5382
155	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC	03	0.9466
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	03	0.6555

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert J34.0 to ICD-9-CM

• ICD-9-CM Code: 478.19 - Nasal & sinus dis NEC
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Patient Education

Abscess

An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.

Bacteria, viruses, parasites and swallowed objects can all lead to abscesses. Skin abscesses are easy to detect. They are red, raised and painful. Abscesses inside your body may not be obvious and can damage organs, including the brain, lungs and others. Treatments include drainage and antibiotics.

[Learn More in MedlinePlus]

Nose Injuries and Disorders

Your nose is important to your health. It filters the air you breathe, removing dust, germs, and irritants. It warms and moistens the air to keep your lungs and tubes that lead to them from drying out. Your nose also contains the nerve cells that help your sense of smell. When there is a problem with your nose, your whole body can suffer. For example, the stuffy nose of the common cold can make it hard for you to breathe, sleep, or get comfortable.

Many problems besides the common cold can affect the nose. They include:

• Deviated septum - a shifting of the wall that divides the nasal cavity into halves
• Nasal polyps - soft growths that develop on the lining of your nose or sinuses
• Nosebleeds
• Rhinitis - inflammation of the nose and sinuses sometimes caused by allergies. The main symptom is a runny nose.
• Nasal fractures, also known as a broken nose

[Learn More in MedlinePlus]

Code History

• FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.