J03.00
BillableAcute streptococcal tonsillitis, unspecified
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
This code describes a sudden infection of the tonsils caused by streptococcal bacteria, where the specific type of streptococcus has not been identified. It's a common throat infection that typically causes pain, swelling, and difficulty swallowing.
Coding Tips
- •Use this code only when streptococcal infection is confirmed but the specific streptococcal organism (Group A, Group B, etc.) is not documented; if the organism is specified, use a more specific J03.0x code
- •Verify documentation supports 'acute' presentation; if the condition is chronic or recurrent, different codes (J35.01) may apply instead
Code Hierarchy
└J03Acute tonsillitis└J03.0Streptococcal tonsillitis└J03.00Acute streptococcal tonsillitis, unspecified
└J03.00Acute streptococcal tonsillitis, unspecified