ICD Code J02.0

ICD code J02.0 is used to identify and classify a diagnosis of streptococcal pharyngitis, which is a bacterial infection that causes inflammation and pain in the throat, commonly known as strep throat. This code is utilized in medical billing and documentation to ensure accurate representation of the condition for treatment and reimbursement purposes.

1. Sore Throat: The patient presents with a sudden onset of sore throat, which is a primary symptom of the condition.

2. Fever: The patient exhibits a high fever, often above 101°F (38.3°C), which is commonly associated with this diagnosis.

3. Red and Swollen Tonsils: Upon examination, the tonsils appear red and swollen, possibly with white patches or streaks of pus.

4. Tender and Swollen Lymph Nodes: The cervical lymph nodes, particularly in the neck area, are tender and swollen upon palpation.

5. Absence of Cough: The patient does not exhibit a cough, which helps differentiate this condition from other respiratory infections.

6. Headache: The patient may report experiencing headaches, which can accompany the primary symptoms.

7. Nausea or Vomiting: Particularly in children, nausea or vomiting may be present as part of the symptomatology.

8. Rash: In some cases, a fine, red rash may develop, which is indicative of a specific type of reaction associated with the condition.

9. Positive Rapid Antigen Detection Test (RADT): A positive result from a rapid antigen detection test for the specific bacteria confirms the diagnosis.

10. Throat Culture: A positive throat culture for the specific bacteria can also be used to confirm the diagnosis if RADT results are negative or inconclusive.

For the ICD code J02.0, which pertains to streptococcal pharyngitis, the relevant CPT codes that may be used for treatment and related procedures include:

1. 99201-99215: These codes cover evaluation and management services provided by a physician or qualified healthcare professional. The specific code within this range would depend on the complexity and time spent during the patient encounter.

2. 87880: This code is used for the rapid strep test, which is a quick diagnostic test to detect the presence of group A streptococcus.

3. 87070: This code is for a throat culture, which may be performed to confirm the presence of streptococcal bacteria.

4. 96372: If an injection of antibiotics is administered, this code is used for the therapeutic, prophylactic, or diagnostic injection (specify substance or drug).

5. J0696: This code is used for the administration of an injection of ceftriaxone sodium, an antibiotic that may be used in the treatment of streptococcal infections.

These CPT codes are examples of what might be used in the treatment and management of a patient diagnosed with ICD code J02.0. The selection of specific codes would depend on the services provided during the patient encounter.

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