Excludes1 pair
J00 vs J02-
J00 and J02 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on J00
acute pharyngitis (J02.-)
J00
Acute nasopharyngitis [common cold]
Billable
- Chapter 10
- Diseases of the respiratory system
- Section
- J00-J06
Use when the record says
- Acute rhinitis
- Coryza (acute)
- Infective nasopharyngitis NOS
- Infective rhinitis
- Nasal catarrh, acute
- Nasopharyngitis NOS
Indexed under
- Catarrh, catarrhal (acute) (febrile) (infectious) (inflammation)
- Cold
- Coryza (acute)
- Nasopharyngitis (acute) (infective) (streptococcal) (subacute)
- Cold › common (head)
J02
Acute pharyngitis
Not billable
- Chapter 10
- Diseases of the respiratory system
- Section
- J00-J06
Use when the record says
- acute sore throat
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027