ICD-10-CM Codes
J00-J99
J00-J06
J02-
2023 ICD-10-CM Diagnosis Code J02.0

2023 ICD-10-CM Diagnosis Code J02.0

Streptococcal pharyngitis

2016

2017

2018

2019

2020

2021

2022

2023

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 2023 edition of ICD-10-CM J02.0 became effective on October 1, 2022.
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
2023 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
2023 ICD-10-CM Range J00-J06
Acute upper respiratory infections
Type 1 Excludes
- chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
Acute upper respiratory infections
J02
ICD-10-CM Diagnosis Code J02
Acute pharyngitis
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 v40.0):

011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
012 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
013 Tracheostomy for face, mouth and 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
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to J02.0:

Type 1 Excludes: J03
, J06

ICD-10-CM Diagnosis Code J03
Acute tonsillitis
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
Type 1 Excludes
- acute respiratory infection NOS (J22)
- influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
- streptococcal pharyngitis (J02.0)
Type 2 Excludes: A38

ICD-10-CM Diagnosis Code A38
Scarlet fever
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 2021 2022 2023 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
Applicable To
Gangrenous pharyngitis (acute)
Infective pharyngitis (acute) NOS
Pharyngitis (acute) NOS
Sore throat (acute) NOS
Suppurative pharyngitis (acute)
Ulcerative pharyngitis (acute)
Type 1 Excludes
influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
- septic J02.0
- streptococcal J02.0
Septic - see condition
- sore - see also Abscess
  - throat J02.0
    - streptococcal J02.0
Sore
- throat (acute) - see also Pharyngitis
  - septic J02.0
  - streptococcal J02.0 (ulcerative)
Ulcer, ulcerated, ulcerating, ulceration, ulcerative
- sore throat J02.9
  ICD-10-CM Diagnosis Code J02.9
  Acute pharyngitis, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 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)
  Type 1 Excludes
  influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
  - 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.

2023 ICD-10-CM Diagnosis Code J02.0

Streptococcal pharyngitis

Diseases of the respiratory system

Acute upper respiratory infections

Acute pharyngitis

Acute tonsillitis

Acute upper respiratory infections of multiple and unspecified sites

Scarlet fever

Other diseases of pharynx

Acute pharyngitis, unspecified

Acute pharyngitis, unspecified