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    v1.0.28
    OpenPayerBilling CodesOther diseases of upper respiratory tractICD-10-CM j36-peritonsillar-abscess
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    ICD-10-CM Code For Peritonsillar Abscess: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J36 includes diagnoses for peritonsillar abscess, describing localized purulent collections adjacent to the tonsils and related peritonsillar infections. These ICD-10-CM diagnosis codes are used to document acute infectious complications of the oropharynx, capturing presenting severity, laterality when relevant, and associated clinical complexity. Accurate coding within the ICD-10-CM J36 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM J36: Peritonsillar Abscess Overview

    Peritonsillar abscesses represent localized collections of pus adjacent to the tonsils, typically arising from bacterial tonsillitis and involving the oropharyngeal tissues. This group targets infections of the upper respiratory tract in the peritonsillar space and surrounding soft tissues. Accurate coding matters for proper documentation of the infectious site, episode of care, and resource use, which influences claim adjudication and billing.

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    When to Use

    Use a code from this group when clinical documentation indicates a peritonsillar abscess or intra-peritonsillar purulent collection. Select the code that reflects the diagnosis documented by the treating clinician and any specified laterality or episode details.

    ICD-10-CM Codes

    1 rows

    ICD-10-CM CodeDescription
    J36Peritonsillar abscess

    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

    Related Codes

    J30-VASOMOTOR-AND-ALLERGIC-RHINITIS

    ICD-10-CM Code For Vasomotor And Allergic Rhinitis: Group Overview

    J31-CHRONIC-RHINITIS-NASOPHARYNGITIS-PHARYNGITIS

    ICD-10-CM Code For Chronic Rhinitis Nasopharyngitis And Pharyngitis: Group Overview

    J32-CHRONIC-SINUSITIS

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

    J33-NASAL-POLYP

    ICD-10-CM Code For Nasal Polyp: Group Overview

    J34-OTHER-AND-UNSPECIFIED-NASAL-DISORDERS

    ICD-10-CM Code For Other And Unspecified Disorders Of Nose And Nasal Sinuses: Group Overview

    J35-CHRONIC-DISEASES-OF-TONSILS-AND-ADENOIDS

    ICD-10-CM Code For Chronic Diseases Of Tonsils And Adenoids: Group Overview

    J37-CHRONIC-LARYNGITIS-AND-LARYNGOTRACHEITIS

    ICD-10-CM Code For Chronic Laryngitis And Laryngotracheitis: Group Overview

    J38-DISEASES-OF-VOCAL-CORDS-AND-LARYNX

    ICD-10-CM Code For Diseases Of Vocal Cords And Larynx: Group Overview

    J39-OTHER-DISEASES-OF-UPPER-RESPIRATORY-TRACT

    ICD-10-CM Code For Other Diseases Of Upper Respiratory Tract: 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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