J00
J00: Acute nasopharyngitis [common cold]
Billable / specific codeICD-10-CM
J00 is a billable, specific ICD-10-CM code for acute nasopharyngitis [common cold]. It is valid for submission on a claim.
Check J00 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Acute rhinitis
- Coryza (acute)
- Infective nasopharyngitis NOS
- Infective rhinitis
- Nasal catarrh, acute
- Nasopharyngitis NOS
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J00 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A58575Billing and Coding: Respiratory Pathogen Panel Testing
- A58577Billing and Coding: Respiratory Pathogen Panel Testing
- A58741Billing and Coding: Respiratory Pathogen Panel Testing
Alphabetic index entries that lead here
- Catarrh, catarrhal(acute) (febrile) (infectious) (inflammation)
- Cold
- Coryza(acute)
- Nasopharyngitis(acute) (infective) (streptococcal) (subacute)
- Cold›common(head)
- Cold›head
- Cold›symptoms
- Cold›virus
- Common›cold(head)
- Fever›catarrhal(acute)
- Inflammation, inflamed, inflammatory›catarrhal
- Rhinitis›acute
Code history
Unchanged in every release from FY2024 to FY2027.