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Home/Diagnosis/ICD-10 Coding for Strep Pharyngitis

ICD-10 Coding for Strep Pharyngitis

J02.0

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

Also Known as:
Streptococcal Pharyngitis
Strep Throat
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Key Information: ICD-10 Coding for Strep Pharyngitis

Essential facts and insights about ICD-10 Coding for Strep 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

clinical:
  • • Presence of Centor criteria and positive RADT or culture
documentation:
  • • Document specific test results confirming streptococcal infection

Applicable To

  • • Acute streptococcal pharyngitis

Important Notes

  • • Ensure lab confirmation before using J02.0 to avoid audit risks.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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

Use as a secondary code to identify the organism in confirmed cases.

Frequently Asked Questions

What is the ICD-10 code for strep pharyngitis?

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

How is strep pharyngitis documented?

Document strep pharyngitis by confirming with a positive RADT or throat culture and noting specific symptoms like fever and tonsillar exudate.

When should J02.0 be used?

Use J02.0 for confirmed cases of streptococcal pharyngitis, supported by lab results and clinical criteria.

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