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

ICD-10 J36

Billable / Specific CC

Peritonsillar abscess

J36
Block
0
Synonyms
28
LCDs
1
Payer Policies
1
Linked CPTs

About ICD-10-CM J36

ICD-10-CM code J36 represents Peritonsillar abscess. This is a billable/specific code in the Respiratory System chapter (block J36). The 2026 edition of ICD-10-CM J36 became effective on October 1, 2025.

Coding Tips for J36

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

J36 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Type 1 Excludes

Pure excludes, these codes can never be coded together with J36. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • acute tonsillitis (J03.-)
  • chronic tonsillitis (J35.0)
  • retropharyngeal abscess (J39.0)
  • tonsillitis NOS (J03.9-)

Includes

  • abscess of tonsil
  • peritonsillar cellulitis
  • quinsy

Use Additional Code

When coding J36, also report these additional codes when applicable.

  • code (B95-B97) to identify infectious agent.

Inpatient DRG Impact, CC

codes Peritonsillar abscess. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for J36

Local Coverage Determinations (LCDs) from CMS MACs that list J36 as a covered diagnosis.

28 LCDs

Showing top 10 of 28 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70553 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70336 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72142 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70450 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72127 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70551 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70543 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70482 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 72126 →
CMS LCD: Billing and Coding: MRI and CT Scans of the Head and Neck
Article ID: 57204, Effective: 2025-10-23 00:00:00, 6455 covered, 0 non-covered
CPT 70558 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J36.

1 policies

1 Medicare

Billing and Coding: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204

CPT Codes Commonly Billed with J36

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

1 linkages
  • 42820 Tonsillectomy — chronic tonsillitis, hypertrophic tonsils, sleep apnea, peritonsillar abscess, acute tonsillitis, mouth breathing, dysphagia ENT

Convert J36 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J36 475 00000

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

ICD-10 J36, Billing FAQ

Is ICD-10 code J36 billable? +

Yes, J36 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for J36? +

Type 1 Excludes (never code together with J36): acute tonsillitis (J03.-); chronic tonsillitis (J35.0); retropharyngeal abscess (J39.0)

Is J36 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with J36? +

Procedures frequently paired with J36 include: 42820.

What ICD-9 codes does J36 map to? +

Per CMS GEMs, J36 maps to ICD-9 codes: 475. 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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