2020 ICD-10-CM Diagnosis Code J02.0

Streptococcal pharyngitis

    2016 2017 2018 2019 2020 Billable/Specific Code
  • J02.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM J02.0 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of J02.0 - other international versions of ICD-10 J02.0 may differ.
Applicable To
  • Septic pharyngitis
  • Streptococcal sore throat
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (J02.0) and the excluded code together.
  • scarlet fever (
    ICD-10-CM Diagnosis Code A38
    • A38 Scarlet fever
      • A38.0 Scarlet fever with otitis media
      • A38.1 Scarlet fever with myocarditis
      • A38.8 Scarlet fever with other complications
      • A38.9 Scarlet fever, uncomplicated
    A38.-
    )
The following code(s) above J02.0 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J02.0:
  • J00-J99
    2020 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • 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).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J00-J06
    2020 ICD-10-CM Range J00-J06

    Acute upper respiratory infections

    Type 1 Excludes
    • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
    • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
    Acute upper respiratory infections
  • J02
    ICD-10-CM Diagnosis Code J02

    Acute pharyngitis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • acute sore throat
    Type 1 Excludes
    • acute laryngopharyngitis (J06.0)
    • peritonsillar abscess (J36)
    • pharyngeal abscess (J39.1)
    • retropharyngeal abscess (J39.0)
    Type 2 Excludes
    • chronic pharyngitis (J31.2)
    Acute pharyngitis
Approximate Synonyms
  • Streptococcal sore throat
ICD-10-CM J02.0 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 011 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth & neck diagnoses or laryngectomy without cc/mcc
  • 152 Otitis media and uri with mcc
  • 153 Otitis media and uri without mcc

Convert J02.0 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to J02.0:
  • Type 1 Excludes: J03
    , J06
    ICD-10-CM Diagnosis Code J03

    Acute tonsillitis

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute sore throat (J02.-)
    • hypertrophy of tonsils (J35.1)
    • peritonsillar abscess (J36)
    • sore throat NOS (J02.9)
    • streptococcal sore throat (J02.0)
    Type 2 Excludes
    • chronic tonsillitis (J35.0)
    ICD-10-CM Diagnosis Code J06

    Acute upper respiratory infections of multiple and unspecified sites

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute respiratory infection NOS (J22)
    • streptococcal pharyngitis (J02.0)
  • Type 2 Excludes: A38
    ICD-10-CM Diagnosis Code A38

    Scarlet fever

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • scarlatina
    Type 2 Excludes
    • streptococcal sore throat (J02.0)

Diagnosis Index entries containing back-references to J02.0:
  • Disease, diseased - see also Syndrome
    • throat J39.2
      ICD-10-CM Diagnosis Code J39.2

      Other diseases of pharynx

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Cyst of pharynx
      • Edema of pharynx
      Type 2 Excludes
      • chronic pharyngitis (J31.2)
      • ulcerative pharyngitis (J02.9)
      • septic J02.0
  • Pharyngitis (acute) (catarrhal)(gangrenous) (infective) (malignant) (membranous) (phlegmonous) (pseudomembranous) (simple) (subacute) (suppurative) (ulcerative) (viral) J02.9
    ICD-10-CM Diagnosis Code J02.9

    Acute pharyngitis, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Gangrenous pharyngitis (acute)
    • Infective pharyngitis (acute) NOS
    • Pharyngitis (acute) NOS
    • Sore throat (acute) NOS
    • Suppurative pharyngitis (acute)
    • Ulcerative pharyngitis (acute)
    • septic J02.0
    • streptococcal J02.0
  • Septic - see condition
  • Sore
  • Ulcer, ulcerated, ulcerating, ulceration, ulcerative
    • sore throat J02.9
      ICD-10-CM Diagnosis Code J02.9

      Acute pharyngitis, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Gangrenous pharyngitis (acute)
      • Infective pharyngitis (acute) NOS
      • Pharyngitis (acute) NOS
      • Sore throat (acute) NOS
      • Suppurative pharyngitis (acute)
      • Ulcerative pharyngitis (acute)
      • streptococcal J02.0

ICD-10-CM Codes Adjacent To J02.0
J01.4 Acute pansinusitis
J01.40 …… unspecified
J01.41 Acute recurrent pansinusitis
J01.8 Other acute sinusitis
J01.80 Other acute sinusitis
J01.81 Other acute recurrent sinusitis
J01.9 Acute sinusitis, unspecified
J01.90 Acute sinusitis, unspecified
J01.91 Acute recurrent sinusitis, unspecified
J02 Acute pharyngitis
J02.0 Streptococcal pharyngitis
J02.8 Acute pharyngitis due to other specified organisms
J02.9 Acute pharyngitis, unspecified
J03 Acute tonsillitis
J03.0 Streptococcal tonsillitis
J03.00 Acute streptococcal tonsillitis, unspecified
J03.01 Acute recurrent streptococcal tonsillitis
J03.8 Acute tonsillitis due to other specified organisms
J03.80 Acute tonsillitis due to other specified organisms
J03.81 Acute recurrent tonsillitis due to other specified organisms
J03.9 Acute tonsillitis, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.