J31.1
J31.1: Chronic nasopharyngitis
Billable / specific codeICD-10-CM
J31.1 is a billable, specific ICD-10-CM code for chronic nasopharyngitis. It is valid for submission on a claim.
Check J31.1 with the rest of the claim: free scrubberExcludes2: 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.
- acute nasopharyngitis (J00)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
J31.1 is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
- A60360Billing and Coding: Allergy Diagnostic Testing
- A60361Billing and Coding: Allergy Diagnostic Testing
- A60363Billing and Coding: Allergy Diagnostic Testing
Alphabetic index entries that lead here
- Atrophy, atrophic›nasopharynx
- Catarrh, catarrhal›nasobronchial
- Catarrh, catarrhal›nasopharyngeal(chronic)
- Nasopharyngitis›chronic(suppurative) (ulcerative)
- Rhinopharyngitis›chronic
Code history
Unchanged in every release from FY2024 to FY2027.