All ICD10 Codes

J36

Billable
ChapterJ00–J99
Rankcategory
Official Description

Peritonsillar abscess

Metadata & Insights
  • •Billable/specific code (valid for reimbursement).
  • •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)

Instructional Notes

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

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J30-J39Other diseases of upper respiratory tract (J30-J39)
J36Peritonsillar abscessBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J36:

chapterCH10
Diseases of the respiratory system (J00-J99)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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