Valid for Submission
J36 is a billable diagnosis code used to specify a medical diagnosis of peritonsillar abscess. The code J36 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code J36 might also be used to specify conditions or terms like abscess of pharynx, abscess of pharynx, abscess of tonsil, cellulitis of pharynx, peritonsillar abscess , peritonsillar cellulitis, etc.
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J36:
This 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
Use Additional CodeUse Additional Code
The “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 ExcludesType 1 Excludes
A 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
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code J36 are found in the index:
- - Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) - L02.91
- - Angina (attack) (cardiac) (chest) (heart) (pectoris) (syndrome) (vasomotor) - I20.9
- - Cellulitis (diffuse) (phlegmonous) (septic) (suppurative) - L03.90
- - Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) - See Also: Necrosis; - I96
- - quinsy - J36
- - Peritonsillitis - J36
- - Quinsy (gangrenous) - J36
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 tonsil
- Cellulitis of pharynx
- Peritonsillar abscess
- Peritonsillar cellulitis
- Recurrent peritonsillar abscess
- PERITONSILLAR ABSCESS-. an accumulation of purulent material in the area between the palatine tonsil and its capsule.
Convert J36 to ICD-9 Code
Information for Patients
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.
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