J02 — Acute pharyngitis
Is J02 billable?
No — J02 is a non-billable header code. J02 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath J02.
Billable codes under this header
J02 at a glance
| Code | J02 |
|---|---|
| Description | Acute pharyngitis |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together
The conditions below can never be reported together with J02 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 J02, but a patient may have both at the same time. When documentation supports it, J02 and the excluded code may both be reported.
- chronic pharyngitis (J31.2)
Includes
Conditions classified to J02.
- acute sore throat
Excludes1 — never code together — inherited from J00-J06
The conditions below can never be reported together with J02 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 J02 to fully describe the condition. J02 is sequenced first.
Excludes2 — not included here — inherited from Chapter 10
The conditions below are not part of J02, but a patient may have both at the same time. When documentation supports it, J02 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)
What codes fall under J02? (3)
How long has J02 existed?
J02 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 J02?
ICD-10-CM declares these codes mutually exclusive with J02 — exactly one of each pair can be correct for a given encounter.