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    v1.0.28
    OpenPayerBilling CodesAcute upper respiratory infectionsICD-10-CM j00-acute-nasopharyngitis-common-cold
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    ICD-10-CM Code For Acute Nasopharyngitis Common Cold: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J00 includes acute nasopharyngitis diagnoses, covering the common cold and other acute inflammatory conditions of the nasal passages and nasopharynx. These ICD-10-CM diagnosis codes are used to document clinical encounters for acute upper respiratory infection symptoms, capturing disease location, symptom severity, and acute onset. Accurate coding within the ICD-10-CM J00 group supports proper claim adjudication.

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    ICD-10-CM J00: Acute Nasopharyngitis [Common Cold] Overview

    The ICD-10-CM J00 diagnoses represent acute nasopharyngitis, commonly called the common cold, affecting the upper respiratory tract including the nasal passages and nasopharynx. These codes capture short-term viral or nonbacterial inflammatory conditions of the upper airway. Accurate coding matters for appropriate claim adjudication and to reflect care rendered for acute upper respiratory infections.

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    When to Use

    Use a code from this group for clinical encounters where the primary diagnosis is acute nasopharyngitis or the common cold with symptoms localized to the nasal passages and nasopharynx. Do not use these codes when there is a documented bacterial infection, lower respiratory tract involvement, or other complicating conditions requiring a different code.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    J00Acute nasopharyngitis [common cold]

    DRG Codes

    5 rows

    DRG CodeDescription
    011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
    012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
    013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
    152Otitis Media and URI with MCC
    153Otitis Media and URI without MCC

    Typical Clinical Scenarios

    • A previously healthy adult presents to urgent care with a 48-hour history of nasal congestion, clear rhinorrhea, sore throat, sneezing, and low-grade fever after recent contact with a coworker who was ill. Physical exam shows erythematous nasal mucosa and clear secretions without signs of lower respiratory involvement; the clinician assigns a diagnosis from this group for an acute upper respiratory viral infection. Typical codes: J00
    • A parent brings a 3-year-old child to a primary care clinic for acute onset of watery nasal discharge, cough, and decreased appetite that started today; the child is alert, breathing normally, and has no ear pain or high fever, consistent with an uncomplicated common cold managed conservatively. Because the presentation is an acute nasopharyngitis without complication, a code from this group is used. Typical codes: J00
    • An adult with chronic obstructive pulmonary disease (COPD) seeks care for a sudden worsening of nasal congestion, rhinorrhea, and sore throat that preceded mild dyspnea; the clinician documents an acute upper respiratory infection as the precipitating factor alongside the COPD exacerbation, assigning the acute nasopharyngitis code to identify the viral trigger. Typical codes: J00

    Related Codes

    J01-ACUTE-SINUSITIS

    ICD-10-CM Code For Acute Sinusitis: Group Overview

    J02-ACUTE-PHARYNGITIS

    ICD-10-CM Code For Acute Pharyngitis: Group Overview

    J03-ACUTE-TONSILLITIS

    ICD-10-CM Code For Acute Tonsillitis: Group Overview

    J04-ACUTE-LARYNGITIS-AND-TRACHEITIS

    ICD-10-CM Code For Acute Laryngitis And Tracheitis: Group Overview

    J05-ACUTE-OBSTRUCTIVE-LARYNGITIS-AND-EPIGLOTTITIS

    ICD-10-CM Code For Acute Obstructive Laryngitis And Epiglottitis: Group Overview

    J06-ACUTE-UPPER-RESPIRATORY-INFECTIONS

    ICD-10-CM Code For Acute Upper Respiratory Infections Of Multiple And Unspecified Sites: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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