J06.0
J06.0: Acute laryngopharyngitis
Billable / specific codeICD-10-CM
J06.0 is a billable, specific ICD-10-CM code for acute laryngopharyngitis. It is valid for submission on a claim.
Check J06.0 with the rest of the claim: free scrubberExcludes1 inherited from the categories above J06.0
A category’s note binds every code beneath it.
Other codes that can never be billed with J06.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- J02Acute pharyngitis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J06.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Laryngopharyngitis(acute)
- Pharyngolaryngitis(acute)
Code history
Unchanged in every release from FY2024 to FY2027.