ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesStreptococcal Pharyngitis

Streptococcal Pharyngitis

ICD-10 Coding for Streptococcal Pharyngitis(J02.0)

PRIMARY SPECIALTYPrimary Care
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Streptococcal Pharyngitis?
Essential facts and insights about Streptococcal Pharyngitis

Key Clinical Considerations:

  • Sore throat, fever, swollen lymph nodes, and tonsillar enlargement
  • Rapid antigen detection test (RADT) or throat culture
  • Erythema and edema of the oropharynx, tender anterior cervical lymphadenopathy

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset and duration of symptoms, physical exam findings, and test results
  • Use of terms like 'acute pharyngitis' and 'streptococcal infection'
  • Example: 'Patient presents with sore throat, fever, and positive RADT for Group A Streptococcus.'

Coding Guidelines

Usage Guidelines & Examples

  • Follow guidelines for acute vs. chronic conditions
  • Common errors include misclassifying viral vs. bacterial infections

Code Exclusions

Important Exclusions

  • Viral pharyngitis, chronic pharyngitis
  • J02.9 (Acute pharyngitis, unspecified)

Related ICD-10 Codes

Primary Codes
J02.0
Streptococcal pharyngitis
Ancillary Codes
B95.0
R50.9
Differential Codes
J02.9
J02.9
when strep is suspected but not confirmed.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Primary Care

Specialty Applications

  • Pediatric and adult populations
  • Primary care and urgent care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Document all symptoms, test results, and treatment plans.

Billing considerations?

Ensure accurate coding to avoid denials; check payer-specific guidelines.