ICD-10 Code J01.21 – Acute recurrent ethmoidal sinusitis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Acute recurrent ethmoidal sinusitis is J01.21.
2026 ICD-10-CM Diagnosis Code J01.21 – Acute recurrent ethmoidal sinusitis

What it is

J01.21 identifies an acute infection and inflammation of the ethmoid sinus that recurs in separate episodes. Use it when the record specifically describes recurrent acute ethmoidal sinusitis, not a chronic sinus condition.

Clinical signs

Typical findings include facial pressure or pain near the bridge of the nose, nasal congestion, and purulent nasal drainage. Clinical features vary; refer to documentation for evidence that the ethmoid sinus is involved and that the episode is acute and recurrent.

When to use this code

Assign this code when the provider documents acute recurrent ethmoidal sinusitis, or clearly describes repeated acute flare-ups affecting the ethmoid sinus. Use the code only when the recurrence is stated or can be supported by the note. If the site or acuity is unclear, check documentation.

Do not use for

Do not use J01.21 for chronic ethmoid sinusitis, unspecified sinusitis, or a single acute episode without recurrence. Do not assume ethmoid involvement unless the documentation supports it.

Coding tip

Confirm both elements: acute recurrence and ethmoid location, because either missing detail may require a different sinusitis code.

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