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J31.2

Billable

Chronic pharyngitis

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 pharynx (throat) causing persistent sore throat, discomfort, and sometimes difficulty swallowing.

Coding Tips

  • •Verify the inflammation is chronic (lasting weeks to months) rather than acute
  • •Document the underlying cause if known (allergic, infectious, or irritant-related)

Excludes 2 — Not included here, may code separately

  • acute pharyngitis (J02.9)

Code Hierarchy

└J31Chronic rhinitis, nasopharyngitis and pharyngitis└J31.2Chronic pharyngitis
└J31.2Chronic pharyngitis

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