ICD-10-CM Code J03
Non-Billable CodeNon-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
ICD Code J03 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of J03 that describes the diagnosis 'acute tonsillitis' in more detail.
- J03 Acute tonsillitis NON-BILLABLE
- J03.0 tonsillitis NON-BILLABLE
- J03.8 Acute tonsillitis NON-BILLABLE
- J03.9 Acute NON-BILLABLE
The ICD code J03 is used to code Upper respiratory tract infection
Upper respiratory tract infections (URI or URTI) are illnesses caused by an acute infection which involves the upper respiratory tract including the nose, sinuses, pharynx or larynx. This commonly includes tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, and the common cold.
|ICD 9 Codes:||465.9, 465.9|
Coding Notes for J03 Info for medical coders on how to properly use this ICD-10 code
Code Type-1 Excludes:
Type-1 ExcludesType-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
- Acute sore throat - instead, use code J02.-
- Hypertrophy of tonsils - instead, use code J35.1
- Peritonsillar abscess - instead, use Code J36
- Sore throat NOS - instead, use code J02.9
- Streptococcal sore throat - instead, use code J02.0
Code Type-2 Excludes:
Type-2 ExcludesType-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."
- Chronic tonsillitis - instead, use code J35.0