2024 ICD-10-CM Diagnosis Code J36
Peritonsillar abscess
- ICD-10-CM Code:
- J36
- ICD-10 Code for:
- Peritonsillar abscess
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
J36 is a billable diagnosis code used to specify a medical diagnosis of peritonsillar abscess. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Abscess of pharynx
- Abscess of pharynx
- Abscess of pharynx
- Abscess of tonsil
- Cellulitis of pharynx
- Peritonsillar abscess
- Peritonsillar cellulitis
- Recurrent peritonsillar abscess
Clinical Classification
Clinical Category is Acute and chronic tonsillitis
- CCSR Category Code: RSP004
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Peritonsillar Abscess
an accumulation of purulent material in the area between the palatine tonsil and its capsule.Palatine Tonsil
a round-to-oval mass of lymphoid tissue embedded in the lateral wall of the pharynx. there is one on each side of the oropharynx in the fauces between the anterior and posterior pillars of the soft palate.
Tabular List of Diseases and Injuries
The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.
Includes
IncludesThis note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- abscess of tonsil
- peritonsillar cellulitis
- quinsy
Use Additional Code
Use Additional CodeThe “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Type 1 Excludes
Type 1 ExcludesA type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and Injuries References
The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).
- - Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) - L02.91
- - circumtonsillar - J36
- - intratonsillar - J36
- - lingual - K14.0
- - tonsil - J36
- - peritonsillar - J36
- - posttonsillar - J36
- - tonsil (s) (lingual) - J36
- - tonsillopharyngeal - J36
- - Angina (attack) (cardiac) (chest) (heart) (pectoris) (syndrome) (vasomotor) - I20.9
- - phlegmonous - J36
- - tonsil - J36
- - Cellulitis (diffuse) (phlegmonous) (septic) (suppurative) - L03.90
- - peritonsillar - J36
- - tonsil - J36
- - Cynanche
- - tonsillaris - J36
- - Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) - See Also: Necrosis; - I96
- - quinsy - J36
- - Hemorrhage, hemorrhagic (concealed) - R58
- - peritonsillar tissue - J35.8
- - due to infection - J36
- - peritonsillar tissue - J35.8
- - Peritonsillitis - J36
- - Quinsy (gangrenous) - J36
Convert J36 to ICD-9-CM
- ICD-9-CM Code: 475 - Peritonsillar abscess
Patient Education
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.
Bacteria, viruses, parasites and swallowed objects can all lead to abscesses. Skin abscesses are easy to detect. They are red, raised and painful. Abscesses inside your body may not be obvious and can damage organs, including the brain, lungs and others. Treatments include drainage and antibiotics.
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.