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
ICD-10 CodesJ31.2

J31.2

Chronic pharyngitis

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

Code Description

ICD-10 J31.2 is a billable code used to indicate a diagnosis of chronic pharyngitis.

Key Diagnostic Point:

Chronic pharyngitis is characterized by persistent inflammation of the pharynx, often resulting from prolonged exposure to irritants such as smoke, allergens, or chronic infections. Clinically, patients may present with symptoms including a sore throat, difficulty swallowing, and a sensation of a lump in the throat. The anatomy involved primarily includes the pharynx, which is the muscular tube that connects the nasal cavity to the esophagus and larynx. Disease progression can lead to complications such as chronic cough, voice changes, and in severe cases, airway obstruction. Diagnostic considerations for chronic pharyngitis include a thorough patient history, physical examination, and possibly imaging studies or laryngoscopy to rule out other conditions such as malignancies or infections. It is essential to differentiate chronic pharyngitis from acute pharyngitis and other respiratory conditions to ensure appropriate management and treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires differentiation from other throat conditions.
  • Treatment complexity: May involve lifestyle changes, medications, or referrals.
  • Documentation requirements: Detailed history and symptom documentation needed.
  • Coding specificity: Specific to chronic pharyngitis, but may overlap with other respiratory codes.

Audit Risk Factors

  • Common coding errors: Misclassification with acute pharyngitis.
  • Documentation gaps: Insufficient detail on symptom duration and severity.
  • Billing challenges: Potential denials if documentation does not support chronicity.

Specialty Focus

Medical Specialties

Primary medical specialty: Otolaryngology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Secondary specialty: Pulmonology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic pharyngitis can significantly affect a patient's quality of life, leading to difficulties in swallowing and speaking, which may impact social interactions and work performance. From a population health perspective, understanding the prevalence of chronic pharyngitis can inform healthcare utilization patterns, as patients may frequently seek care for throat-related symptoms. Quality measures may include tracking the effectiveness of treatment interventions and patient satisfaction with symptom management.

ICD-9 vs ICD-10

Chronic pharyngitis can significantly affect a patient's quality of life, leading to difficulties in swallowing and speaking, which may impact social interactions and work performance. From a population health perspective, understanding the prevalence of chronic pharyngitis can inform healthcare utilization patterns, as patients may frequently seek care for throat-related symptoms. Quality measures may include tracking the effectiveness of treatment interventions and patient satisfaction with symptom management.

Reimbursement & Billing Impact

Reimbursement considerations include ensuring that the chronic nature of the condition is clearly documented, as payers may deny claims if they perceive the condition as acute. Common denials may arise from insufficient documentation or misclassification of the condition. Best practices include maintaining thorough records of patient visits, treatment plans, and any referrals made to specialists, which can support the medical necessity of the services provided.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J31.2?

J31.2 specifically covers chronic pharyngitis, which may be associated with conditions like gastroesophageal reflux disease (GERD), allergies, or chronic respiratory infections.

When should J31.2 be used instead of related codes?

J31.2 should be used when the patient presents with chronic symptoms of pharyngitis lasting longer than three weeks, distinguishing it from acute conditions coded under J02.

What documentation supports J31.2?

Documentation should include a detailed history of symptoms, duration, any previous treatments, and results from any diagnostic tests performed to confirm chronicity.