Billable Medical Code for Acute Pharyngitis
Diagnosis Code for Reimbursement Claim: ICD-9-CM 462
Code will be replaced by October 2015 and relabeled as ICD-10-CM 462.
Pharyngitis is also known as acute pharyngitis (throat inflammation), infectious pharyngitis, infective pharyngitis, pharyngitis, pharyngitis (throat inflammation), and viral pharyngitis. This excludes abscess: peritonsillar [quinsy] (475), pharyngeal NOS (478.29), retropharyngeal (478.24), chronic pharyngitis (472.1), infectious mononucleosis (075), that specified as (due to): coxsackie (virus) (074.0), gonococcus (098.6), herpes simplex (054.79), influenza (487.1, 488.02, 488.12), septic (034.0), and streptococcal (034.0). This applies to acute sore throat NOS, pharyngitis (acute): NOS, gangrenous, infective, phlegmonous, pneumococcal, staphylococcal, suppurative, and ulcerative, sore throat (viral) NOS, and viral pharyngitis,
Pharyngitis Definition and Symptoms
Pharyngitis is when the back of the throat, the pharynx, is inflamed. Symptoms are sore throat, scratchiness in the throat, difficulty swallowing, sneezing, runny nose, headache, cough, fatigue, body aches, chills, and a fever.