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J03.91

Billable

Acute recurrent tonsillitis, unspecified

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 where the specific cause is unknown or not identified.

Coding Tips

  • Documentation must clearly indicate recurrent episodes to use this code
  • Use this when recurrence is documented but no specific organism is identified

Code Hierarchy

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