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v1.0.0
ICD-10 Guide
ICD-10 CodesJ03.0

J03.0

Streptococcal tonsillitis

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J03.0 is a used to indicate a diagnosis of streptococcal tonsillitis.

Key Diagnostic Point:

Streptococcal tonsillitis is an infection of the tonsils caused by Group A Streptococcus. Patients typically present with a sudden sore throat, fever, and swollen tonsils, often with white patches or streaks of pus. Diagnosis is confirmed through rapid antigen tests or throat cultures. Treatment involves antibiotics to eradicate the infection and prevent complications such as rheumatic fever. Supportive care includes analgesics and hydration.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • severity of symptoms
  • risk of complications

Audit Risk Factors

    Specialty Focus

    Related CPT Codes

    87070CPT Code

    Clinical Scenario

    Documentation Requirements

    ICD-10 Impact

    Diagnostic & Documentation Impact

    Enhanced Specificity

    ICD-10 Improvements

    Prompt treatment of streptococcal tonsillitis is crucial to prevent complications and reduce transmission.

    ICD-9 vs ICD-10

    Prompt treatment of streptococcal tonsillitis is crucial to prevent complications and reduce transmission.

    Reimbursement & Billing Impact

    Prompt treatment of streptococcal tonsillitis is crucial to prevent complications and reduce transmission.

    Resources

    Clinical References

    • •
      Tonsillitis Treatment Guidelines

    Coding & Billing References

    • •
      Tonsillitis Treatment Guidelines

    Frequently Asked Questions

    What are the symptoms of streptococcal tonsillitis?

    Symptoms include severe sore throat, fever, swollen tonsils, and difficulty swallowing.

    How is streptococcal tonsillitis treated?

    Treatment typically involves antibiotics and supportive care for symptom relief.