Wiki Coding for sore throat/pharyngitis

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Code: J02.0

Code Name: ICD-10 Code for Streptococcal pharyngitis

Block: Acute upper respiratory infections (J00-J06)

Excludes 1: chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)

Details: Streptococcal pharyngitis

Septic pharyngitis
Streptococcal sore throat

Excludes 2: scarlet fever (A38.-)


Includes: acute sore throat

Excludes1: acute laryngopharyngitis (J06.0)
peritonsillar abscess (J36)
pharyngeal abscess (J39.1)
retropharyngeal abscess (J39.0)

Excludes2: chronic pharyngitis (J31.2)

Guidelines: Diseases of the respiratory system (J00-J99)

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 use (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

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).

Excludes 2: 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)

For more details on J02.0 , ICD-10 Code for Streptococcal pharyngitis , visit:


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Best answers
When a provider orders a strep test and reports dx code R07.0 (pain in throat) and then the strep test comes back positive so the provider also assigns J31.2 (chronic pharyngitis) should the diagnosis R07.0 be removed from the visit note? I know these 2 codes cannot be billed together, however I was wondering if the R07.0 should remain on the visit note and J31.2 be reported on the claim by itself.