2025 ICD-10-CM code J30.9
(Active) Effective Date: N/A Revision Date: N/A Diseases of the respiratory system - Other diseases of upper respiratory tract (J30-J39) Diseases of the respiratory system (J00-J99) Feed
Allergic rhinitis, unspecified; a type of nasal inflammation caused by an immune system overreaction to allergens.
Medical necessity for this code is established by the presence of symptoms consistent with allergic rhinitis.The documentation should support the clinical impression of allergic rhinitis and the lack of identification of a specific allergen or the rationale for not pursuing allergy testing.Payer specific guidelines should be consulted.
Diagnosis and management of allergic rhinitis. This includes taking a detailed patient history, performing a physical examination, ordering and interpreting allergy testing if needed, and developing a treatment plan which might include medication, allergy immunotherapy, or other management strategies.
In simple words: This code describes allergic rhinitis, or a stuffy, runny nose caused by allergies, when the specific allergen isn't known.Common allergy triggers include pollen, dust mites, and pet dander.
Allergic rhinitis, unspecified (J30.9), is an IgE-mediated inflammatory response of the nasal mucosa.It is characterized by symptoms such as nasal obstruction, rhinorrhea (runny nose), sneezing, nasal pruritus (itching), and may be accompanied by other symptoms like eye itching and watering. The condition is triggered by exposure to airborne allergens such as pollen, dust mites, pet dander, and mold spores. This code is used when the specific allergen causing the allergic rhinitis is unknown or not specified.
Example 1: A 25-year-old female patient presents with symptoms of nasal congestion, sneezing, and itchy eyes during spring.She reports no known allergies but suspects pollen.J30.9 is coded since the specific allergen is undetermined., A 10-year-old male patient with a history of recurrent rhinorrhea, sneezing, and nasal itching is seen.Past allergy testing was inconclusive. J30.9 is coded due to the unspecified nature of the allergen., A 60-year-old patient presents with chronic nasal congestion and clear rhinorrhea.No specific allergen is identified. J30.9 is used, although J31.0 (Chronic rhinitis) may also be considered depending on the clinical context and duration of symptoms.
Detailed patient history including symptom onset, duration, character, and any aggravating or alleviating factors.Physical examination findings.Allergy test results (if performed).Treatment plan and response to treatment.
** This code should be used cautiously.When possible, more specific codes should be used to improve data accuracy and reimbursement.Always review payer-specific guidelines to determine acceptable documentation requirements and billing practices.
- Payment Status: Active
- Specialties:Allergists/Immunologists, Otolaryngologists, Family Medicine, Pediatrics
- Place of Service:Office, Outpatient Hospital, Urgent Care Facility