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J03.81

Billable

Acute recurrent tonsillitis due to other specified organisms

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 organisms other than streptococcus.

Coding Tips

  • The specific causative organism should be documented to justify this code over J03.91
  • Confirm recurrence is documented; a single episode would not qualify for this code

Code Hierarchy

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