MCMedicalCodingSoftware
J02.8

J02.8Acute pharyngitis due to other specified organisms

Billable / specific codeICD-10-CM

J02.8 is a billable, specific ICD-10-CM code for acute pharyngitis due to other specified organisms. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • acute pharyngitis due to coxsackie virus (B08.5)
  • acute pharyngitis due to gonococcus (A54.5)
  • acute pharyngitis due to herpes [simplex] virus (B00.2)
  • acute pharyngitis due to infectious mononucleosis (B27.-)
  • enteroviral vesicular pharyngitis (B08.5)

Use additional code

Add a secondary code to capture the detail described below.

  • code (B95-B97) to identify infectious agent

Excludes1 inherited from the categories above J02.8

These are not written on J02.8, but they bind it: a note on a category applies to every code beneath it. Billing J02.8 with anything listed here is a denial.

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 J02.8

Also inherited, and the opposite of Excludes1: these conditions are not part of J02.8, but a patient can have both, so you may code both.

Written on J02 Acute pharyngitis

  • chronic pharyngitis (J31.2)

Other codes that can never be billed with J02.8

These codes carry an Excludes1 note pointing at J02.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J02.8 alone.

  • J00Acute nasopharyngitis [common cold]
  • J03Acute tonsillitis

Risk adjustment

J02.8 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How J02.8 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J02.8.

  • Pharyngitispneumococcal
  • Pharyngitisspecified organism NEC
  • Pharyngitisstaphylococcal
  • Pharyngitisviral NEC
  • Sorethroatviral NEC

Code history

J02.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share J02. If J02.8 is not quite right, the correct code is usually one of these.

Questions about J02.8

Is J02.8 a billable ICD-10-CM code?
Yes. J02.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J02.8 sit in the tabular list?
Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).
What cannot be coded together with J02.8?
J02.8 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above J02.8 (J02) and apply to it just the same.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.