ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J02.0

Billable / Specific

Streptococcal pharyngitis

J02
Block
2
Synonyms
0
LCDs
1
Payer Policies
0
Linked CPTs

About ICD-10-CM J02.0

ICD-10-CM code J02.0 represents Streptococcal pharyngitis. This is a billable/specific code in the Respiratory System chapter (block J02). The 2026 edition of ICD-10-CM J02.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J02.0. Per CMS ICD-10-CM Tabular 2026.

  • Septic pharyngitis
  • Streptococcal sore throat

Type 2 Excludes

Not included here, the excluded code is not part of J02.0, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • scarlet fever (A38.-)

Medicare LCD Coverage for J02.0

Local Coverage Determinations (LCDs) from CMS MACs that list J02.0 as a covered diagnosis.

No Medicare LCDs reference J02.0 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J02.0.

1 policies

1 Aetna

Esophageal and Airway pH Monitoring
Policy ID: CPB-0667

CPT Codes Commonly Billed with J02.0

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J02.0

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J02.0 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J02.0 0340 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J02.0, Billing FAQ

Is ICD-10 code J02.0 billable? +

Yes, J02.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J02.0? +

ICD-10 J02.0 includes: Septic pharyngitis; Streptococcal sore throat.

What codes are Type 2 Excludes for J02.0? +

Type 2 Excludes (may be coded together when both conditions exist): scarlet fever (A38.-)

What ICD-9 codes does J02.0 map to? +

Per CMS GEMs, J02.0 maps to ICD-9 codes: 0340. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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