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

ICD-10 J31.2

Billable / Specific

Chronic pharyngitis

J31
Block
4
Synonyms
40
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM J31.2

ICD-10-CM code J31.2 represents Chronic pharyngitis. This is a billable/specific code in the Respiratory System chapter (block J31). The 2026 edition of ICD-10-CM J31.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J31.2. Per CMS ICD-10-CM Tabular 2026.

  • Chronic sore throat
  • Atrophic pharyngitis (chronic)
  • Granular pharyngitis (chronic)
  • Hypertrophic pharyngitis (chronic)

Type 2 Excludes

Not included here, the excluded code is not part of J31.2, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • acute pharyngitis (J02.9)

Medicare LCD Coverage for J31.2

Local Coverage Determinations (LCDs) from CMS MACs that list J31.2 as a covered diagnosis.

40 LCDs

Showing top 10 of 40 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J31.2.

4 policies

1 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530

2 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Allergy Testing
Policy ID: ART-57473

1 Aetna

Esophageal and Airway pH Monitoring
Policy ID: CPB-0667

CPT Codes Commonly Billed with J31.2

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

No procedure linkages on file for J31.2

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 J31.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J31.2 4721 00000

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

ICD-10 J31.2, Billing FAQ

Is ICD-10 code J31.2 billable? +

Yes, J31.2 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 J31.2? +

ICD-10 J31.2 includes: Chronic sore throat; Atrophic pharyngitis (chronic); Granular pharyngitis (chronic), and 1 more clinical synonyms.

What codes are Type 2 Excludes for J31.2? +

Type 2 Excludes (may be coded together when both conditions exist): acute pharyngitis (J02.9)

What ICD-9 codes does J31.2 map to? +

Per CMS GEMs, J31.2 maps to ICD-9 codes: 4721. 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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