J06.0 — Acute laryngopharyngitis
J06.0 is a billable, specific ICD-10-CM code for acute laryngopharyngitis. It is valid for submission on a claim.
Other codes that can never be billed with J06.0
These codes carry an Excludes1 note pointing at J06.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J06.0 alone.
- J02Acute pharyngitis
Risk adjustment
J06.0 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.
Medicare coverage
J06.0 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
- A57224Billing and Coding: Respiratory Care
- A58575Billing and Coding: Respiratory Pathogen Panel Testing
How J06.0 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 J06.0.
- Laryngopharyngitis(acute)
- Pharyngolaryngitis(acute)
Related codes at this level
Codes that share J06. If J06.0 is not quite right, the correct code is usually one of these.
Questions about J06.0
- Is J06.0 a billable ICD-10-CM code?
- Yes. J06.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J06.0 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).