ICD-10 J03.80
Billable / SpecificAcute tonsillitis due to other specified organisms
About ICD-10-CM J03.80
ICD-10-CM code J03.80 represents Acute tonsillitis due to other specified organisms. This is a billable/specific code in the Respiratory System chapter (block J03). The 2026 edition of ICD-10-CM J03.80 became effective on October 1, 2025.
Medicare LCD Coverage for J03.80
Local Coverage Determinations (LCDs) from CMS MACs that list J03.80 as a covered diagnosis.
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 J03.80.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but J03.80 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with J03.80
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 J03.80 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| J03.80 | 463 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To J03.80
Other codes in section J00-J06 (Acute upper respiratory infections).
ICD-10 J03.80, Billing FAQ
Is ICD-10 code J03.80 billable? +
Yes, J03.80 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does J03.80 map to? +
Per CMS GEMs, J03.80 maps to ICD-9 codes: 463. 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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