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Home/Diagnosis/ICD-10 Coding for Acute Pharyngitis

ICD-10 Coding for Acute Pharyngitis

J02.0
J02.8
J02.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acute pharyngitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Sore Throat
Throat Infection
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Key Information: ICD-10 Coding for Acute Pharyngitis

Essential facts and insights about ICD-10 Coding for Acute Pharyngitis

Use ICD-10 code J02.0 for acute streptococcal pharyngitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

  • • Presence of positive rapid strep test or culture

Applicable To

  • • Streptococcal sore throat

Important Notes

  • • Ensure lab confirmation before coding as J02.0.

Acute pharyngitis due to other specified organisms

Billable Code
J02.8
Billable

Diagnostic Criteria

  • • Lab identification of specific organism

Applicable To

  • • Klebsiella pharyngitis
  • • Herpesviral pharyngitis

Important Notes

  • • Ensure organism is specified in documentation.

Acute pharyngitis, unspecified

Billable Code
J02.9
Billable

Diagnostic Criteria

  • • Absence of specific organism identification

Applicable To

  • • Sore throat NOS

Important Notes

  • • Avoid using J02.9 when specific organism is identified.
Frequently Asked Questions

What is the ICD-10 code for acute pharyngitis?

The ICD-10 code for unspecified acute pharyngitis is J02.9. For streptococcal pharyngitis, use J02.0.

How to code acute pharyngitis with a specific organism?

Use J02.8 for acute pharyngitis due to other specified organisms, such as Klebsiella or Herpesvirus.

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