ICD CODES

ICD Code J03-

ICD code J03- is used to classify acute tonsillitis, helping healthcare providers document and track this specific throat infection.

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What is ICD diagnosis code J03-

ICD code J03- is acute tonsillitis, which refers to a sudden inflammation of the tonsils, typically caused by a viral or bacterial infection.

When to use ICD code J03-

1. Sudden onset of sore throat

2. Painful swallowing

3. Redness and swelling of the tonsils, often with exudate or pus

4. Fever

5. Tender, swollen lymph nodes in the neck

6. Absence of cough

7. Headache

8. Malaise or general discomfort

9. Possible history of recent exposure to individuals with similar symptoms

10. Symptoms typically lasting less than two weeks

Billable CPT codes for ICD code J03-

Relevant CPT codes that may be used to treat ICD code J03- include:

- 99201–99215 (Office or other outpatient evaluation and management services)

- 99281–99285 (Emergency department services)

- 99381–99397 (Preventive medicine services)

- 87070 (Culture, bacterial; any other source except urine, blood or stool)

- 87880 (Throat swab, rapid antigen detection)

- 36415 (Collection of venous blood by venipuncture)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 90471–90474 (Immunization administration, if applicable)

- 31505 (Laryngoscopy, indirect; diagnostic)

- 31575 (Laryngoscopy, flexible fiberoptic; diagnostic)

CPT code selection should be based on the specific services rendered and clinical documentation.

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