2025 ICD-10-CM code J03
(Active) Effective Date: N/A Diseases of the respiratory system - Acute upper respiratory infections J00-J99 Feed
Acute tonsillitis.
Medical necessity for treatment is based on the severity of symptoms and the potential for complications. Treatment aims to alleviate symptoms, prevent spread of infection, and manage potential complications like peritonsillar abscess.
Physicians typically diagnose and manage acute tonsillitis, providing treatment and monitoring for complications.
In simple words: Tonsillitis is when your tonsils get swollen and sore, often because of a virus or bacteria.It can make it hurt to swallow, and you might also have a fever.
Acute inflammation of the tonsils, most commonly caused by viral or bacterial infections. Symptoms include sore throat, fever, difficulty swallowing, and enlarged lymph nodes.
Example 1: A 5-year-old child presents with a sore throat, fever, and difficulty swallowing. Examination reveals enlarged, red tonsils. The diagnosis is acute tonsillitis., A 20-year-old adult experiences a sudden onset of severe sore throat, fever, and swollen glands. A rapid strep test is positive, confirming streptococcal tonsillitis., A 35-year-old individual with recurrent tonsillitis experiences another episode of severe throat pain and difficulty swallowing, requiring antibiotic treatment.
Documentation should include physical exam findings (e.g., tonsillar appearance, presence of exudates), results of any diagnostic tests (e.g., rapid strep test, throat culture), and details of symptoms (e.g., onset, duration, severity).
- Specialties:Otolaryngology, Family Medicine, Internal Medicine, Pediatrics, Primary Care
- Place of Service:Office, Urgent Care Facility, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home, Inpatient Hospital, Emergency Room - Hospital