B35.1 - Tinea unguium

Clinical Definition

High-grade inflammation or edema of the nasal passages that causes congestion of the respiratory airway and mucous membrane lining, typically accompanied by mucus discharge. A condition distinct from environmental allergies that involves both sides of the nose.

Documentation Requirements

• Must specify chronicity:

  • Acute (less than 4 weeks)

  • Chronic (12 weeks or longer)

  • Recurrent (4 or more episodes per year)

• Location:

  • Bilateral involvement must be noted

  • Any specific sinus involvement

• Associated symptoms:

  • Presence/absence of purulent discharge

  • Nasal obstruction/congestion

  • Facial pain/pressure

  • Reduced/lost smell

Common Synonyms

• Stuffy nose

• Sinus infection

• Head cold

• Nasal congestion

• Blocked nose

• Post-nasal drip

Coding Conflicts

Excludes1:

• Allergic rhinitis (J30.-)

• Deviated nasal septum (J34.2)

• Vasomotor rhinitis (J30.0)

Excludes2:

• Upper respiratory infection (J06.9)

• Acute pharyngitis (J02.9)

Scribing.io Automation

The AI scribe automatically identifies key phrases indicating rhinitis by scanning for:

• Duration descriptors ("ongoing for X weeks")

• Bilateral terminology

• Discharge characteristics

• Associated symptom clusters

• Differentiating features from allergic conditions

Keywords are mapped to specific ICD requirements, ensuring complete documentation for proper code assignment.