FY2021
Effective from
- Inherited rules changed
Streptococcal pharyngitis
Billable diagnosis code
CDC/NCHS · FY2021chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
scarlet fever (A38.-)
chronic pharyngitis (J31.2)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2021
Effective from
Streptococcal pharyngitis
Billable diagnosis code
CDC/NCHS · FY2021| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Inherited rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | Inherited rules changed |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
scarlet fever (A38.-)
When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
acute sore throat
chronic pharyngitis (J31.2)
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| J02.8 | Acute pharyngitis due to other specified organisms | Billable / specific |
| J02.9 | Acute pharyngitis, unspecified | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗
Excludes 2 · streptococcal sore throat (J02.0)
Excludes 1 · streptococcal sore throat (J02.0)
Excludes 1 · streptococcal pharyngitis (J02.0)