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Home/Diagnosis/ICD-10 Coding for Exudative Tonsillitis

ICD-10 Coding for Exudative Tonsillitis

J03.00
J03.80

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

Also Known as:
Purulent Tonsillitis
Suppurative Tonsillitis
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Key Information: ICD-10 Coding for Exudative Tonsillitis

Essential facts and insights about ICD-10 Coding for Exudative Tonsillitis

Use ICD-10 code J03.00 for acute streptococcal tonsillitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute streptococcal tonsillitis

Billable Code
J03.00
Billable

Diagnostic Criteria

  • • Presence of exudate and positive strep test

Applicable To

  • • Exudative tonsillitis with confirmed streptococcal infection

Important Notes

  • • Ensure documentation specifies the organism to avoid defaulting to unspecified codes.

Acute tonsillitis due to other specified organisms

Billable Code
J03.80
Billable

Diagnostic Criteria

  • • Culture or PCR identifying non-streptococcal organism
  • • Presence of exudate on tonsils

Applicable To

  • • Exudative tonsillitis with non-streptococcal organism

Important Notes

  • • Document the specific organism to ensure accurate coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

Streptococcus, group A, as the cause of diseases classified elsewhere

Use with J03.00 to specify the organism.

B95.6

Staphylococcus as the cause of diseases classified elsewhere

Use with J03.80 to specify the organism.

Frequently Asked Questions

What is the ICD-10 code for exudative tonsillitis?

The ICD-10 code for exudative tonsillitis depends on the causative organism: J03.00 for streptococcal and J03.80 for other specified organisms.

How to document exudative tonsillitis?

Document exudative tonsillitis by specifying the organism, clinical findings like exudate, and test results such as rapid strep tests.

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