J36BillableCCNo HCC

Peritonsillar abscess

Diseases of the Respiratory System·Other diseases of upper respiratory tract (J30-J39)·category·FY 2027

Abscess: An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.

Read more about abscess on MedlinePlus · Source: MedlinePlus, National Library of Medicine

Also indexed as: Abscess, circumtonsillar; Abscess, intratonsillar; Abscess, lingual, tonsil; Abscess, peritonsillar; Abscess, posttonsillar; Abscess, tonsil; Abscess, tonsillopharyngeal; Angina, phlegmonous; Angina, tonsil; Cellulitis, peritonsillar; Cellulitis, tonsil; Cynanche, tonsillaris; Gangrene, quinsy; Hemorrhage, peritonsillar tissue, due to infection; Peritonsillitis; Quinsy

Instructional notes

Includes: conditions that are coded here

  • abscess of tonsil
  • peritonsillar cellulitis
  • quinsy

Excludes1: not coded here, use a different code

  • acute tonsillitis (J03.-)
  • chronic tonsillitis (J35.0)
  • retropharyngeal abscess (J39.0)
  • tonsillitis NOS (J03.9-)

Use additional code: add a second code for this, listed after this one

  • code (B95-B97) to identify infectious agent.

MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

Codes whose notes mention J36

If you are coding one of these, its note tells you to add J36 too (Code Also, Use Additional Code), code it first (Code First), or not use it together (Excludes1).

  • J02 Excludes1: peritonsillar abscess (J36)
  • J03 Excludes1: peritonsillar abscess (J36)
  • J39.0 Excludes1: peritonsillar abscess (J36)
  • K12.2 Excludes2: peritonsillar abscess (J36)

ICD-9-CM equivalent

Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).

  • 475 Peritonsillar abscess
ICD-9 to ICD-10 converter