J00 — Acute nasopharyngitis [common cold]
Is J00 billable?
Yes — J00 is billable for FY2027. J00 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. J00 may be submitted for encounters from October 1, 2026 through September 30, 2027.
J00 at a glance
| Code | J00 |
|---|---|
| Description | Acute nasopharyngitis [common cold] |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does J00 group to?
J00 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
How is J00 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to J00. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Catarrh, catarrhal (acute) (febrile) (infectious) (inflammation)
- Cold
- Coryza (acute)
- Nasopharyngitis (acute) (infective) (streptococcal) (subacute)
- Cold › common
- Cold › head
- Cold › symptoms
- Cold › virus
- Common › cold
- Fever › catarrhal (inanition) (of unknown origin) (persistent) (with chills) (with rigor)
- Inflammation, inflamed, inflammatory › catarrhal (with exudation)
- Rhinitis › acute (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative)
Excludes1 — never code together
The conditions below can never be reported together with J00 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here
The conditions below are not part of J00, but a patient may have both at the same time. When documentation supports it, J00 and the excluded code may both be reported.
Inclusion terms
Alternative wording in documentation that is classified to J00.
- Acute rhinitis
- Coryza (acute)
- Infective nasopharyngitis NOS
- Infective rhinitis
- Nasal catarrh, acute
- Nasopharyngitis NOS
Excludes1 — never code together — inherited from J00-J06
The conditions below can never be reported together with J00 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
Use additional code — inherited from Chapter 10
Report an additional code alongside J00 to fully describe the condition. J00 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J00, but a patient may have both at the same time. When documentation supports it, J00 and the excluded code may both be reported.
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- smoke inhalation (T59.81-)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
How long has J00 existed?
J00 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with J00?
ICD-10-CM declares these codes mutually exclusive with J00 — exactly one of each pair can be correct for a given encounter.