ICD-10-CM Billable Code

J02.8

Acute pharyngitis due to other specified organisms

Clinical Classification Guidelines

Use Additional Code

  • code (B95-B97) to identify infectious agent

Excludes Type 1

  • acute pharyngitis due to coxsackie virus (B08.5)
  • acute pharyngitis due to gonococcus (A54.5)
  • acute pharyngitis due to herpes [simplex] virus (B00.2)
  • acute pharyngitis due to infectious mononucleosis (B27.-)
  • enteroviral vesicular pharyngitis (B08.5)

Medical Intelligence & Overview

Acute pharyngitis, commonly known as a sore throat, is an inflammation of the pharynx, which is the part of the throat behind the mouth and nasal cavity. While many cases are caused by viruses, certain bacteria and other organisms can also lead to this condition. The ICD-10 code J02.8 specifically refers to acute pharyngitis caused by organisms other than the common bacteria like Streptococcus. Recognizing the causes, symptoms, and diagnosis options can help in understanding this condition better.

Causes & Symptoms

Clinical Causes: Infections caused by rarer bacteria or organisms, such as Mycoplasma or Chlamydia species. Fungal infections, especially in immunocompromised individuals. Exposure to environmental irritants, like smoke or chemicals, that can trigger inflammatory responses. Allergic reactions to allergens that cause symptoms similar to pharyngitis.

Key Symptoms: Sore throat that develops quickly and may be severe. Difficulty swallowing or feeling of a scratchy throat. Redness or inflammation of the throat lining. Possible swelling of the lymph nodes in the neck. Mild fever or general discomfort. Hoarseness or other changes in voice.

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a thorough physical examination, checking for signs of redness, swelling, and tenderness in the throat and neck. Healthcare providers may perform diagnostic tests, such as:

Treatment Protocols: Treatment depends on the specific organism identified and may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is J02.8 a billable ICD-10 code?
Yes, J02.8 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report J02.8?
Clinical documentation must specify the nature of Acute pharyngitis due to other specified organisms and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Related Diagnosis Codes

Clinical Meta Tags

acute pharyngitis organisms