diphtheritic tonsillitis (A36.0); herpesviral pharyngotonsillitis (B00.2); streptococcal tonsillitis (J03.0); tuberculous tonsillitis (A15.8); Vincent's tonsillitis (A69.1); code (B95-B97) to identify infectious agent. code ( B95-B97) to identify infectious agent.
Acute exudative tonsillitis is one of the common diseases among children in pediatric emergency services. Exudative tonsillitis is commonly associated with adenovirus, Epstein–Barr virus (EBV), and Group A streptococcus (GAS), though influenza virus, parainfluenza virus (PIV), or enterovirus (EV) has been reported.
An acute inflammation of the tonsils caused by viruses or bacteria. Signs and symptoms include fever, enlargement of the tonsils, difficulty swallowing, and enlargement of the regional lymph nodes.
Code R07. 0, “Pain in throat,” specifically excludes “sore throat (acute),” but J02. 9, “Acute pharyngi- tis, unspecified,” specifically includes “sore throat (acute).” Therefore, it appears that ICD-10 considers “sore throat” to be a definitive diagnosis rather than a symptom.
Adenoiditis is characterized by mouth breathing, noisy breathing, and snoring at night. In addition, sleep apnea, choking or gasping when sleeping, difficulty swallowing solid food, and a constant throaty voice may be present in both tonsillitis or adenoiditis.
ICD-10 Coding Tip: Tonsillitis. The tonsils are part of the lymphatic and immunologic system. They act as filters by trapping germs that pass through the nose and mouth. They also produce antibodies that help fight infection. Tonsillitis may be either viral or bacterial.
Tonsillitis may be either viral or bacterial. Streptococcus pyogenes, the bacteria that causes strep throat, is a common bacterial cause of tonsillitis, accounting for approximately 30 percent of tonsillitis in children and 10 percent in adults. Other causes of tonsillitis include adenovirus, influenza virus, and Epstein-Barr virus.
John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.