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J34.8200 ICD-10-CM Code: Internal nasal valve collapse, unspecified

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 Excludes2 · 2 code-first instructions

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Code firstSequence the underlying condition before this code
  • underlying cause, such as:
  • deviated nasal septum (J34.2)
Excludes2Not included here; may be reported together
  • varicose ulcer of nasal septum (I86.8)

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
  • MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
  • MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)
  • MS-DRG 795 — NORMAL NEWBORN (MDC 15)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for J34.8200 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on J34.8200 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from J34

Code First

Underlying conditions that must be sequenced before this code.

  • underlying cause, such as:
  • deviated nasal septum (J34.2)

Source: inherited from J34.82

7th Character Guide

  • 0 — unspecified (this page’s code)
  • 1 — static
  • 2 — dynamic

Variant codes in this family

J34.8200, J34.8201, J34.8202

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for J34.8200

MedCoder structured workflow — derived from this code’s own official record

Before you code J34.8200

  1. Unspecified does not mean incorrect. When the record gives no greater specificity, J34.8200 may be the appropriate code. Check the record for detail that supports a more specific sibling. An unspecified code is for records that do not provide the detail a more specific code needs; a query, not an assumption, is the route to specificity (Guidelines I.A.9.b, I.B.18).

    See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →

  2. A 7th character is required in this family. Confirm the documentation supports the character assigned — its meaning in this family is defined in the official instruction. This page’s code carries “0”. The official 7th-character definitions for this family are quoted in the guide.

    See the 7th Character Guide

Choose the right path

  1. Does the record document the detail a more specific sibling code needs?
    Yes → Review the specific siblings in this subcategory.
    No → Continue — J34.8200 is appropriate when the documentation goes no further.
  2. Is the underlying (etiologic) condition the Code First note names documented?
    Yes → Sequence the underlying condition first, then J34.8200.
    No → Continue; do not add an underlying condition the record does not document.

    ReviewJ34.2

  3. Does the documentation support one of this family’s 7th-character values?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider J34.8200. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
7th-character basis
The documented element this family’s 7th character records (see the official definitions in the 7th Character Guide).
The underlying (etiologic) condition
Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
Any detail beyond this code’s title
What the record states that a more specific sibling code would capture — or its absence, which itself supports the unspecified code.

Official instructions as workflow

  • Excludes2 — not part of J34.8200(1 note)

    Coding workflow: The conditions named in this note are not included in J34.8200. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareI86.8

    See the official tabular notes · Guidelines I.A.12.b

  • Code First — sequencing check(2 notes)

    Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before J34.8200. Do not add an underlying condition the record does not document.

    ReviewJ34.2

    See the official tabular notes · Guidelines I.A.13

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: The provider documents the condition in the terms of this code’s title and records no further detail.

Coding question: Is a more specific sibling code supportable?

Path: Review the subcategory for a sibling that names the missing detail.

Reason: A more specific code needs documentation of the distinguishing element; without it the unspecified code is appropriate, and a provider query is the route to specificity (Guidelines I.A.9.b, I.B.18).

Documentation: The underlying condition the Code First note names is documented alongside this condition.

Coding question: How are the two sequenced?

Path: Review the Code First note.

Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).

ReviewJ34.2

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse J34.8200 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of J34.8200 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • J34.8201— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a static moves the case to J34.8201.

    Full comparison: J34.8200 vs J34.8201 →

  • J34.8202— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a dynamic moves the case to J34.8202.

    Full comparison: J34.8200 vs J34.8202 →

  • I86.8— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of varicose ulcer of nasal septum adds I86.8; it is not part of this code and both may be reported when both are documented.

    Full comparison: J34.8200 vs I86.8 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Internal nasal valve collapse, unspecified is a billable ICD-10-CM diagnosis code (J34.8200).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
  2. Sequencing: 2 Code First instructions — the underlying condition is sequenced before this code when present. See the Code First notes
  3. 1 Excludes2 entry — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 4 MS-DRGs: DRG 154 (MDC 03), DRG 155 (MDC 03), DRG 156 (MDC 03), DRG 795 (MDC 15).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):RSP007 — Other specified and unspecified upper respiratory disease (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified and unspecified upper respiratory disease).

J31.2 — Chronic pharyngitis, J33.0 — Polyp of nasal cavity, J33.1 — Polypoid sinus degeneration, J33.8 — Other polyp of sinus, J33.9 — Nasal polyp, unspecified, J34.0 — Abscess, furuncle and carbuncle of nose, J34.1 — Cyst and mucocele of nose and nasal sinus, J34.2 — Deviated nasal septum, J34.3 — Hypertrophy of nasal turbinates, J34.81 — Nasal mucositis (ulcerative), J34.8201 — Internal nasal valve collapse, static, J34.8202 — Internal nasal valve collapse, dynamic, J34.8210 — External nasal valve collapse, unspecified, J34.8211 — External nasal valve collapse, static, J34.8212 — External nasal valve collapse, dynamic, J34.829 — Nasal valve collapse, unspecified, J34.89 — Other specified disorders of nose and nasal sinuses, J34.9 — Unspecified disorder of nose and nasal sinuses, J37.0 — Chronic laryngitis, J37.1 — Chronic laryngotracheitis, +24 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Collapse”; these codes share that main term but sit in a different category of the Tabular List.

E27.2 — Addisonian crisis (adrenal), F44.89 — Other dissociative and conversion disorders (hysterical), F45.8 — Other somatoform disorders (neurocirculatory), F48.8 — Other specified nonpsychotic mental disorders (nervous), J39.8 — Other specified diseases of upper respiratory tract (trachea), J98.09 — Other diseases of bronchus, not elsewhere classified (tracheobronchial), J98.19 — Other pulmonary collapse (lung), M48.50 — Collapsed vertebra, not elsewhere classified, site unspecified (vertebra), M48.51 — Collapsed vertebra, not elsewhere classified, occipito-atlanto-axial region (vertebra, occipito-atlanto-axial region), M48.52 — Collapsed vertebra, not elsewhere classified, cervical region (vertebra, cervical region), M48.53 — Collapsed vertebra, not elsewhere classified, cervicothoracic region (vertebra, cervicothoracic region), M48.54 — Collapsed vertebra, not elsewhere classified, thoracic region (vertebra, thoracic region), M48.55 — Collapsed vertebra, not elsewhere classified, thoracolumbar region (vertebra, thoracolumbar region), M48.56 — Collapsed vertebra, not elsewhere classified, lumbar region (vertebra, lumbar region), M48.57 — Collapsed vertebra, not elsewhere classified, lumbosacral region (vertebra, lumbosacral region), M48.58 — Collapsed vertebra, not elsewhere classified, sacral and sacrococcygeal region (vertebra, sacrococcygeal region), M80.88 — Other osteoporosis with current pathological fracture, vertebra(e) (vertebra, in, osteoporosis), M84.58 — Pathological fracture in neoplastic disease, other specified site (vertebra, in, neoplasm), M95.0 — Acquired deformity of nose (nose), O08.3 — Shock following ectopic and molar pregnancy (vascular, following ectopic or molar pregnancy), +12 more

Contextual Map

Every relationship of J34.8200 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,151 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 15 — Newborns and Other Neonates with Conditions Originating in Perinatal Period[MDC crossing]: “Newborns and Other Neonates with Conditions Originating in Perinatal Period — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Collapse, nasal valve, internal[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (24)

Change history

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (1)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "J34.8200 — Internal nasal valve collapse, unspecified." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/j34.8200-internal-nasal-valve-collapse-unspecified

Change history

  • FY2025 — October 1, 2024
    Added to the code set
    Internal nasal valve collapse, unspecified
    FY2025 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to J34.8200 in its code family, with their registry titles.

View all codes in the J34 family