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J31.1

Billable

Chronic nasopharyngitis

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

What This Code Means

Long-term inflammation of the nasopharynx (the upper throat behind the nose) causing persistent symptoms like sore throat, drainage, and difficulty swallowing.

Coding Tips

  • Nasopharyngitis involves both nasal and pharyngeal inflammation; ensure documentation supports both sites
  • Do not use this code if the condition is acute; use J20 series for acute nasopharyngitis

Excludes 2 — Not included here, may code separately

  • acute nasopharyngitis (J00)

Code Hierarchy

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