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Home/Diagnosis/ICD-10 Coding for Pharyngitis

ICD-10 Coding for Pharyngitis

J02.0
J02.8
J02.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for 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 Pharyngitis

Essential facts and insights about ICD-10 Coding for Pharyngitis

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

Primary ICD-10-CM Codes

Streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

  • • Confirmed streptococcal infection

Applicable To

  • • Acute streptococcal pharyngitis

Important Notes

  • • Ensure laboratory confirmation before coding.

Acute pharyngitis due to other specified organisms

Billable Code
J02.8
Billable

Diagnostic Criteria

  • • Culture or laboratory test identifying specific non-streptococcal organism

Applicable To

  • • Pharyngitis due to specific bacterial organisms other than streptococcus

Important Notes

  • • Document specific organism identified.

Acute pharyngitis, unspecified

Billable Code
J02.9
Billable

Diagnostic Criteria

  • • Symptoms of pharyngitis without specific organism identification

Applicable To

  • • Acute sore throat

Important Notes

  • • Use as a placeholder until specific etiology is confirmed.
Frequently Asked Questions

What is the ICD-10 code for streptococcal pharyngitis?

The ICD-10 code for streptococcal pharyngitis is J02.0, used when the infection is confirmed by laboratory tests.

When should J02.9 be used for pharyngitis?

Use J02.9 for acute pharyngitis when the specific organism causing the infection is not identified.

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