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Home/Diagnosis/ICD-10 Coding for Strep Sore Throat

ICD-10 Coding for Strep Sore Throat

J02.0
J03.00

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

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

Essential facts and insights about ICD-10 Coding for Strep Sore Throat

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 sore throat, fever, and positive RADT
documentation:
  • • Documentation of positive strep test

Applicable To

  • • Acute streptococcal pharyngitis

Important Notes

  • • Ensure documentation specifies the presence of streptococcal infection confirmed by testing.

Acute streptococcal tonsillitis

Billable Code
J03.00
Billable

Diagnostic Criteria

clinical:
  • • Positive RADT or throat culture
  • • Clinical signs of tonsillar swelling and exudate

Applicable To

  • • Acute tonsillitis due to streptococcus

Important Notes

  • • Ensure documentation specifies the presence of streptococcal infection confirmed by testing.
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 confirmed as the causative agent.

Frequently Asked Questions

What is the ICD-10 code for strep sore throat?

The ICD-10 code for strep sore throat is J02.0 for streptococcal pharyngitis and J03.00 for acute streptococcal tonsillitis.

How do you code strep throat with a positive RADT?

Code J02.0 for streptococcal pharyngitis with a positive RADT, and use B95.0 if Group A Streptococcus is confirmed.

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