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ICD-10-CM Code J02.0
Streptococcal pharyngitis

BILLABLE
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.
| ICD-10 from 2011 - 2016

J02.0 is a billable ICD code used to specify a diagnosis of streptococcal pharyngitis. A 'billable code' is detailed enough to be used to specify a medical diagnosis.


The ICD code J020 is used to code Streptococcal pharyngitis

Streptococcal pharyngitis, also known as strep throat, is an infection of the back of the throat including the tonsils caused by group A streptococcus. Common symptoms include fever, sore throat, red tonsils, and enlarged lymph nodes in the neck. A headache, and nausea or vomiting may also occur. Some develop a sandpaper like rash which is known as scarlet fever. Symptoms typically begin one to three days after exposure and last seven to ten days.

Specialty: Infectious Disease
ICD 9 Code: 340

A culture positive case of streptococcal pharyngitis with typical tonsillar exudate in a 16-year-old.

Source: Wikipedia

Coding Notes for J02.0 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Septic pharyngitis
Streptococcal sore throat
Code Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."
Scarlet fever - instead, use code A38.-

MS-DRG Mapping

  • DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.
  • DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with CC.
  • DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses without CC or MCC.
  • DRG Group #152-153 - Otitis media and uri with MCC.
  • DRG Group #152-153 - Otitis media and uri without MCC.

Related Concepts SNOMET-CT

  • Acute pneumococcal pharyngitis (disorder)

Coding Advice SNOMET-CT

  • Consider additional code to identify specific condition or disease

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

Streptococcal sore throat (approximate match)

This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code J02.0 and a single ICD9 code, 034.0 is an approximate match for comparison and conversion purposes.


Parent Code: J02 - Acute pharyngitis

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/J020