FY2021
Effective from
- Code-level rules changed
- Inherited rules changed
Acute pharyngitis, unspecified
Billable diagnosis code
CDC/NCHS · FY2021chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
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
Acute pharyngitis, unspecified
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 | Code-level rules changed · 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.
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 |
|---|---|---|
| J02.0 | Streptococcal pharyngitis | Billable / specific |
| J02.8 | Acute pharyngitis due to other specified organisms | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗
Excludes 1 · acute sore throat NOS (J02.9)
Excludes 1 · pharyngitis NOS (J02.9)
Excludes 1 · sore throat NOS (J02.9)
Excludes 1 · sore throat NOS (J02.9)
Excludes 2 · acute pharyngitis (J02.9)
Excludes 2 · ulcerative pharyngitis (J02.9)
Excludes 1 · sore throat (acute) NOS (J02.9)