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Home/Diagnosis/ICD-10 Coding for Throat Swelling

ICD-10 Coding for Throat Swelling

J02.0
T78.3XXA
R22.1

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

Also Known as:
Pharyngeal Edema
Throat Edema
Angioedema of Throat
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Key Information: ICD-10 Coding for Throat Swelling

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

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

  • • Presence of tonsillar exudate and tender cervical nodes

Applicable To

  • • Strep throat

Important Notes

  • • Ensure documentation specifies the presence of streptococcal infection.

Angioedema, initial encounter

Billable Code
T78.3XXA
Billable

Diagnostic Criteria

  • • Documentation of allergen exposure
  • • C4 complement levels <15 mg/dL

Applicable To

  • • Allergic angioedema

Important Notes

  • • Ensure documentation includes specific allergen or drug exposure.

Localized swelling, mass and lump of skin and subcutaneous tissue, neck

Billable Code
R22.1
Billable

Important Notes

  • • Ensure no infectious or allergic cause is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R07.0

Pain in throat

Use as a secondary code to indicate throat pain.

R22.1

Localized swelling, mass and lump of skin and subcutaneous tissue, neck

Use to indicate localized swelling in the neck area.

Frequently Asked Questions

What is the ICD-10 code for throat swelling?

The ICD-10 code for throat swelling depends on the cause: J02.0 for streptococcal pharyngitis, T78.3XXA for allergic angioedema, and R22.1 for non-specific swelling.

How do you document throat swelling for ICD-10 coding?

Document the specific cause, such as infection or allergy, and include test results like a positive strep test or allergen exposure.

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