2025 ICD-10-CM code J00
(Active) Effective Date: N/A Diseases of the respiratory system - Acute upper respiratory infections J00-J99 Feed
Acute nasopharyngitis, commonly known as the common cold.
The medical necessity for this code is established by the presence of signs and symptoms consistent with acute nasopharyngitis. Treatment is typically supportive.
Diagnosis and symptomatic treatment of the common cold.
In simple words: The common cold, a viral infection of the upper respiratory tract.
Acute nasopharyngitis [common cold]. This includes acute rhinitis, coryza (acute), infective nasopharyngitis NOS, infective rhinitis, and nasal catarrh (acute).It also includes nasopharyngitis NOS.
Example 1: A patient presents with a runny nose, sneezing, and a sore throat.They have no fever or other symptoms. The diagnosis is J00., A child has a cough, nasal congestion, and a low-grade fever.The physician diagnoses acute nasopharyngitis (J00)., An adult experiences a head cold with symptoms including a stuffy nose and post-nasal drip. They are diagnosed with J00.
Documentation should include the signs and symptoms supporting the diagnosis of the common cold, such as runny nose, sneezing, sore throat, cough, and nasal congestion.Fever may or may not be present.
** Excludes conditions such as allergic rhinitis, chronic pharyngitis, chronic rhinitis, chronic sore throat, chronic nasopharyngitis, and vasomotor rhinitis.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Urgent Care
- Place of Service:Office, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home, Urgent Care Facility, Inpatient Hospital, Outpatient Hospital, Emergency Room - Hospital