J00 vs J02.9
J00 and J02.9 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.
The official note, declared on J00
acute sore throat NOS (J02.9)
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
J02.9
Acute pharyngitis, unspecified
BillableUnspecified
- Chapter 10
- Diseases of the respiratory system
- Section
- J00-J06
Use when the record says
- Gangrenous pharyngitis (acute)
- Infective pharyngitis (acute) NOS
- Pharyngitis (acute) NOS
- Sore throat (acute) NOS
- Suppurative pharyngitis (acute)
- Ulcerative pharyngitis (acute)
Indexed under
- Faucitis
- Pharyngitis (acute) (catarrhal)(gangrenous) (infective) (malignant) (membranous) (phlegmonous) (pseudomembranous) (simple) (subacute) (suppurative) (ulcerative)
- Necrosis, necrotic › pharynx (ischemic)
- Pharyngitis › purulent (acute) (catarrhal)(gangrenous) (infective) (malignant) (membranous) (phlegmonous) (pseudomembranous) (simple) (subacute) (suppurative) (ulcerative)
- Pharyngitis › putrid (acute) (catarrhal)(gangrenous) (infective) (malignant) (membranous) (phlegmonous) (pseudomembranous) (simple) (subacute) (suppurative) (ulcerative)
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