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J00

Billable

Acute nasopharyngitis [common cold]

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

The common cold, which is a viral infection of the nose and throat causing congestion, runny nose, and sore throat.

Coding Tips

  • This code does not require specification of the causative virus; it represents the clinical syndrome
  • Do not use this code if the patient has lower respiratory involvement; use J20 codes for acute bronchitis instead

Excludes 1 — Do NOT code together

  • acute pharyngitis (J02.-)
  • acute sore throat NOS (J02.9)
  • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1)
  • pharyngitis NOS (J02.9)
  • rhinitis NOS (J31.0)
  • sore throat NOS (J02.9)

Excludes 2 — Not included here, may code separately

Code Hierarchy

J00Acute nasopharyngitis [common cold]
J00Acute nasopharyngitis [common cold]

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