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Home/Diagnosis/ICD-10 Coding for Throat Culture

ICD-10 Coding for Throat Culture

J02.0
J02.9

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

Also Known as:
Pharyngeal Culture
Strep Throat Test
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Key Information: ICD-10 Coding for Throat Culture

Essential facts and insights about ICD-10 Coding for Throat Culture

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

Primary ICD-10-CM Codes

Acute streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

clinical:
  • • Positive rapid antigen test or culture for Group A Streptococcus
documentation:
  • • Document specific test results confirming Group A Streptococcus

Applicable To

  • • Strep throat

Important Notes

  • • Ensure laboratory confirmation before using J02.0.

Acute pharyngitis, unspecified

Billable Code
J02.9
Billable

Diagnostic Criteria

clinical:
  • • Clinical diagnosis of pharyngitis without specific pathogen identification

Applicable To

  • • Sore throat NOS

Important Notes

  • • Consider further testing to identify the causative organism.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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

Use alongside J02.0 to specify the causative organism.

Frequently Asked Questions

What is the ICD-10 code for a throat culture?

The ICD-10 code for a confirmed Group A Streptococcus throat culture is J02.0, while J02.9 is used for unspecified acute pharyngitis.

When should J02.0 be used?

J02.0 should be used when a throat culture or rapid antigen test confirms Group A Streptococcus.

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