A36.0
A36.0: Pharyngeal diphtheria
Billable / specific codeICD-10-CM
A36.0 is a billable, specific ICD-10-CM code for pharyngeal diphtheria. It is valid for submission on a claim.
Check A36.0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Diphtheritic membranous angina
- Tonsillar diphtheria
Other codes that can never be billed with A36.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J03.8Acute tonsillitis due to other specified organisms
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
A36.0 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56900Billing and Coding: Immunizations
Alphabetic index entries that lead here
- Bretonneau's disease or angina
- Angina›diphtheritic, membranous
- Angina›gangrenous diphtheritic
- Angina›malignant diphtheritic
- Angina›pultaceous, diphtheritic
- Diphtheria, diphtheritic›faucial
- Diphtheria, diphtheritic›pharyngeal
- Diphtheria, diphtheritic›tonsillar
- Disease, diseased›Bretonneau's(diphtheritic malignant angina)
- Pharyngitis›diphtheritic
- Tonsillitis›diphtheritic
- Angina›membranous›diphtheritic
Code history
Unchanged in every release from FY2024 to FY2027.