J02.0

J02.0: Streptococcal pharyngitis

Billable / specific codeICD-10-CM

J02.0 is a billable, specific ICD-10-CM code for streptococcal pharyngitis. It is valid for submission on a claim.

Check J02.0 with the rest of the claim: free scrubber

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.

scarlet fever (A38.-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Septic pharyngitis
Streptococcal sore throat

Excludes1 inherited from the categories above J02.0

A category’s note binds every code beneath it.

Written on J02: Acute pharyngitis

acute laryngopharyngitis (J06.0)
peritonsillar abscess (J36)
pharyngeal abscess (J39.1)
retropharyngeal abscess (J39.0)

Excludes2 inherited from the categories above J02.0

Not part of this code, but both may be coded when both are present.

Written on J02: Acute pharyngitis

chronic pharyngitis (J31.2)

Other codes that can never be billed with J02.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

J00Acute nasopharyngitis [common cold]
J03Acute tonsillitis
J06Acute upper respiratory infections of multiple and unspecified sites

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Pharyngitis›septic
Pharyngitis›streptococcal
Disease, diseased›throat›septic
Septic›sore›throat
Sore›throat›septic
Sore›throat›streptococcal(ulcerative)
Ulcer, ulcerated, ulcerating, ulceration, ulcerative›sore throat›streptococcal
Septic›sore›throat›streptococcal

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J02