2023

  1. ICD-10-CM Codes
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  2. J00-J99
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  3. J00-J06
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  4. J03-
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  5. 2023 ICD-10-CM Diagnosis Code J03.9

2023 ICD-10-CM Diagnosis Code J03.9

Acute tonsillitis, unspecified

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • J03.9 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM J03.9 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of J03.9 - other international versions of ICD-10 J03.9 may differ.
Applicable To
  • Follicular tonsillitis (acute)
  • Gangrenous tonsillitis (acute)
  • Infective tonsillitis (acute)
  • Tonsillitis (acute) NOS
  • Ulcerative tonsillitis (acute)
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J03.9. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • influenza virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J09.X2

    Influenza due to identified novel influenza A virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus NOS
    • Influenza due to identified novel influenza A virus with laryngitis
    • Influenza due to identified novel influenza A virus with pharyngitis
    • Influenza due to identified novel influenza A virus with upper respiratory symptoms
    Use Additional
    • code, if applicable, for associated:
    • pleural effusion (J91.8)
    • sinusitis (J01.-)
    J09.X2
    ,
    ICD-10-CM Diagnosis Code J10.1

    Influenza due to other identified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to other identified influenza virus NOS
    • Influenza due to other identified influenza virus with laryngitis
    • Influenza due to other identified influenza virus with pharyngitis
    • Influenza due to other identified influenza virus with upper respiratory symptoms
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J10.1
    ,
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J11.1
    )
The following code(s) above J03.9 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 J03.9:
  • 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
  • J03
    ICD-10-CM Diagnosis Code J03

    Acute tonsillitis

      2016 2017 2018 2019 2020 2021 2022 2023 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)
    Acute tonsillitis
Clinical Information
  • An acute inflammation of the tonsils caused by viruses or bacteria. Signs and symptoms include fever, enlargement of the tonsils, difficulty swallowing, and enlargement of the regional lymph nodes.
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 J03.9:
  • Type 1 Excludes: J36
    ICD-10-CM Diagnosis Code J36

    Peritonsillar abscess

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Includes
    • abscess of tonsil
    • peritonsillar cellulitis
    • quinsy
    Type 1 Excludes
    • acute tonsillitis (J03.-)
    • chronic tonsillitis (J35.0)
    • retropharyngeal abscess (J39.0)
    • tonsillitis NOS (J03.9-)
    Use Additional
    • code (B95-B97) to identify infectious agent.
ICD-10-CM Codes Adjacent To J03.9
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
J03.90 Acute tonsillitis, unspecified
J03.91 Acute recurrent tonsillitis, unspecified
J04 Acute laryngitis and tracheitis
J04.0 Acute laryngitis
J04.1 Acute tracheitis
J04.10 …… without obstruction
J04.11 …… with obstruction
J04.2 Acute laryngotracheitis
J04.3 Supraglottitis, unspecified
J04.30 …… without obstruction

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

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