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J03.01

Billable

Acute recurrent streptococcal tonsillitis

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

What This Code Means

Repeated episodes of acute inflammation of the tonsils caused by streptococcal bacteria.

Coding Tips

  • •This code specifically indicates recurrent streptococcal tonsillitis, so documentation must confirm both recurrence and streptococcal etiology
  • •Verify that multiple episodes are documented before assigning this code rather than J03.90

Code Hierarchy

└J03Acute tonsillitis└J03.0Streptococcal tonsillitis└J03.01Acute recurrent streptococcal tonsillitis
└J03.01Acute recurrent streptococcal tonsillitis

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