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J032026

Non-billable

Acute tonsillitis

Clinical Notes

  • Acute sore throat (J02.-)
  • Hypertrophy of tonsils (J35.1)
  • Peritonsillar abscess (J36)
  • Sore throat NOS (J02.9)
  • Streptococcal sore throat (J02.0)
From J00-J06
  • Chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Frequently Asked Questions

Code Hierarchy
Acute upper respiratory infections (J00-J06)
Acute nasopharyngitis [common cold]
Acute sinusitis
Acute pharyngitis
J03
Acute tonsillitis
Streptococcal tonsillitis
...due to other specified organisms
...tonsillitis, unspecified
Acute laryngitis and tracheitis
Acute obstructive laryngitis [croup] and epiglottitis
...multiple and unspecified sites

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Related MS-DRGs
55,188 Medicare hospitalizations across 5 DRGs for codes in J03

Top DRGs associated with codes in this category:

153OTITIS MEDIA AND URI WITHOUT MCC21,510
152OTITIS MEDIA AND URI WITH MCC12,396
011TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC10,128
012TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC9,216
013TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC1,938
Official Guidelines
Chapter 10: Diseases of the Respiratory System

Official coding guidelines for J00-J99

Acute tonsillitis - ICD-10-CM Code J03 2026 | FindICD10