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2025 ICD-10-CM code J30.5

Allergic rhinitis due to food.

When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g., tracheobronchitis to bronchitis).Use additional codes to identify exposure to tobacco smoke, tobacco dependence, and tobacco use, where applicable.

Medical necessity for J30.5 is established when the documentation clearly supports the diagnosis of allergic rhinitis specifically triggered by food. Symptoms must impact the patient's quality of life, requiring medical intervention.

Clinicians diagnose allergic rhinitis based on a detailed medical history, physical examination, and sometimes allergy testing. The history focuses on symptom patterns, including when they occur (perennial or seasonal), duration, and triggers. Physical exam assesses nasal passages for swelling, color, and discharge. Allergy tests, like skin prick or blood tests, can pinpoint specific food allergens.

In simple words: Inflammation of the nasal mucous membrane caused by an allergic reaction to food.

Allergic rhinitis due to ingestion of food.

Example 1: A 6-year-old child experiences sneezing, runny nose, and itchy eyes after consuming peanuts. Allergy testing confirms peanut allergy., A 25-year-old patient reports chronic nasal congestion, watery eyes, and sneezing, especially after eating shellfish. Skin prick testing reveals shellfish allergy., A 40-year-old individual develops hives, facial swelling, and difficulty breathing shortly after eating eggs. Blood tests confirm egg allergy. The individual also experiences allergic rhinitis symptoms along with the anaphylactic reaction.

Symptoms (sneezing, runny nose, nasal congestion, itchy eyes, watery eyes)Onset and duration of symptomsRelationship of symptoms to food intakeFamily history of allergiesPhysical exam findings (nasal mucosa inflammation, watery discharge)Allergy test results (skin prick test, blood test)

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