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Home/Diagnosis/ICD-10 Coding for Peritonsillar Abscess

ICD-10 Coding for Peritonsillar Abscess

J36

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

Also Known as:
Quinsy
Peritonsillar Cellulitis
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Key Information: ICD-10 Coding for Peritonsillar Abscess

Essential facts and insights about ICD-10 Coding for Peritonsillar Abscess

Use ICD-10 code J36 for peritonsillar abscess, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Peritonsillar abscess

Billable Code
J36
Billable

Diagnostic Criteria

clinical:
  • • Presence of a fluctuant mass and purulent drainage
coding:
  • • Do not code with J03.- due to Excludes1 note

Applicable To

  • • Abscess of the peritonsillar area

Important Notes

  • • Ensure not to code J36 with J03.- due to Excludes1 note.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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

Use when Group A Streptococcus is identified as the causative agent.

Frequently Asked Questions

What is the ICD-10 code for peritonsillar abscess?

The ICD-10 code for peritonsillar abscess is J36. It is used to classify abscesses located near the tonsils.

Can J36 be coded with J03.9?

No, J36 cannot be coded with J03.9 due to the Excludes1 note, which prevents coding peritonsillar abscess with acute tonsillitis.

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