All ICD10 Codes

J03

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Acute tonsillitis

Use a more specific code (0 billable, 3 non-billable)
J03.0Streptococcal tonsillitishas subcodesJ03.8Acute tonsillitis due to other specified organismshas subcodesJ03.9Acute tonsillitis, unspecifiedhas subcodes
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 10: Diseases of the Respiratory System (J00-J99).

CH10 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional Code
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

J00-J06 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • acute sore throat (J02.-)
  • hypertrophy of tonsils (J35.1)
  • peritonsillar abscess (J36)
  • sore throat NOS (J02.9)
  • streptococcal sore throat (J02.0)
Excludes2(Not included here. Code separately if applicable.)
  • chronic tonsillitis (J35.0)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J00-J06Acute upper respiratory infections (J00-J06)
J03Acute tonsillitisNot billable
J03.0Streptococcal tonsillitisSubcodes
J03.8Acute tonsillitis due to other specified organismsSubcodes
J03.9Acute tonsillitis, unspecifiedSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J03:

blockJ00-J06
Acute upper respiratory infections (J00-J06)
View context instructions
chapterCH10
Diseases of the respiratory system (J00-J99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

Find Procedures (ICD-10-PCS)

Find surgical and procedural codes related to Acute tonsillitis.

Search PCS Codes