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Home/Diagnosis/ICD-10 Coding for Tonsillitis

ICD-10 Coding for Tonsillitis

J03.01
J35.01

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

Also Known as:
Tonsil infection
Sore throat
Pharyngotonsillitis
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Key Information: ICD-10 Coding for Tonsillitis

Essential facts and insights about ICD-10 Coding for Tonsillitis

Use ICD-10 code J03.01 for acute recurrent streptococcal tonsillitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute recurrent streptococcal tonsillitis

Billable Code
J03.01
Billable

Diagnostic Criteria

  • • Recurrent episodes with positive strep test

Applicable To

  • • Recurrent episodes of streptococcal tonsillitis

Important Notes

  • • Ensure lab results are documented to support the use of this code.

Chronic tonsillitis

Billable Code
J35.01
Billable

Diagnostic Criteria

  • • Symptoms persisting for more than 3 months

Applicable To

  • • Persistent tonsillitis symptoms

Important Notes

  • • Document duration and chronic nature of symptoms.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.0

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

Use to specify the organism causing the infection.

Z77.22

Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)

Use if tobacco exposure is a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for recurrent tonsillitis?

The ICD-10 code for acute recurrent streptococcal tonsillitis is J03.01, used when lab tests confirm the presence of Group A Streptococcus.

How do you code chronic tonsillitis?

Chronic tonsillitis is coded as J35.01, used for cases where symptoms persist beyond the acute phase, typically more than 3 months.

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