what is the icd 10 code for peritonsillar abcess

by Ocie Mayer 6 min read

ICD-10 code J36 for Peritonsillar abscess is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

How is a peritonsillar abscess usually diagnosed?

  • The doctor’s assistant may retract your cheek laterally to improve visibility.
  • Your tongue will be pushed out of the way using a tongue depressor.
  • The doctor will identify the most prominent part of the abscess and inject about 3 mL of anesthetic into the tonsillar lining.

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What are risk factors for peritonsillar abscess?

  • Painful swallowing
  • Fever and chills
  • Spasm in the muscles of the jaw (trismus) and neck (torticollis)
  • Ear pain on the same side as the abscess
  • A muffled voice, often described as a "hot potato" voice (sounds as if you have a mouthful of hot potato when you talk)
  • Difficulty swallowing saliva

How is a peritonsillar abscess medically treated?

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How long is a peritonsillar abscess contagious?

Tonsillitis caused by a virus infection usually is contagious for about seven to 10 days. Bacterial tonsillitis can remain contagious for about two weeks. Click to read more on it.

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Is peritonsillar abscess the same as tonsillitis?

Peritonsillar abscess vs. tonsillitis: What's the difference? Tonsillitis is an infection of your tonsils, while a peritonsillar abscess is an area of pus-filled tissue next to your tonsils. A peritonsillar abscess is often a complication of tonsillitis, but this isn't always the case.

What is the CPT code for peritonsillar abscess?

Table 1. I&D Codes for Specific Anatomic LocationsCodeDescription30020Drainage abscess or hematoma, nasal septum42700Incision and drainage, abscess; peritonsillar46050Incision and drainage, perianal abscess, superficial25 more rows•Oct 1, 2009

What is the difference between peritonsillar cellulitis and peritonsillar abscess?

Abscess and cellulitis both have swelling above the affected tonsil, but with abscess there is more of a discrete bulge, with deviation of the soft palate and uvula and pronounced trismus.

What is throat peritonsillar abscess?

Peritonsillar abscess is the most common deep infection of the head and neck, occurring primarily in young adults. Diagnosis is usually made on the basis of clinical presentation and examination. Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a “hot potato” voice.

What is the CPT code 10180?

CPT® Code 10180 in section: Incision and Drainage Procedures on the Skin, Subcutaneous and Accessory Structures.

What is the difference between CPT 26010 vs 10060?

For example, there is a considerable difference in reimbursement between CPT codes 10060 and 26010. According to the Medicare Physician Fee Schedule (MPFS), average reimbursement for code 10060 is $121.68, while the average reimbursement for code 26010 is $272.88.

Is a peritonsillar abscess the same as an retropharyngeal abscess?

A retropharyngeal abscess develops behind the pharynx - in the tissue that lies just behind the back of the throat. A peritonsillar abscess develops around the tonsils, particularly the palatine tonsils which are at the back of the throat.

Where is a peritonsillar abscess located?

Peritonsillar abscesses form in the area between the palatine tonsil and its capsule. If the abscess progresses, it can involve the surrounding anatomy, including the masseter muscles and the pterygoid muscle. If severe, the infection can also penetrate the carotid sheath.

What causes a peritonsillar abscess?

Peritonsillar abscess is a complication of tonsillitis. It is most often caused by a type of bacteria called group A beta-hemolytic streptococcus. Peritonsillar abscess most often occurs in older children, adolescents, and young adults. The condition is rare now that antibiotics are used to treat tonsillitis.

What does peritonsillar mean in medical terms?

(per'i-ton'si-lăr) Denotes area near or around the tonsils.

What does peritonsillar abscess look like?

The symptoms of a peritonsillar abscess are similar to those of tonsillitis and strep throat. But with this condition you may actually be able to see the abscess toward the back of your throat. It looks like a swollen, whitish blister or boil.

How is peritonsillar abscess diagnosed?

A doctor will examine the mouth and throat to diagnose a peritonsillar abscess. They can usually identify this condition with a visual inspection. To aid in the examination, the doctor will likely use a small light and a tongue depressor. Swelling and redness on one tonsil may suggest an abscess.

The ICD code J36 is used to code Peritonsillar abscess

Peritonsillar abscess (PTA), also known as a quinsy or quinsey, is a recognized complication of tonsillitis and consists of a collection of pus beside the tonsil in what is referred to as peritonsillar space (peri—meaning surrounding). It is a commonly encountered otorhinolaryngological (ENT) emergency.

Coding Notes for J36 Info for medical coders on how to properly use this ICD-10 code

Includes notes further define, or give examples of, conditions included in the section.

MS-DRG Mapping

DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.

ICD-10-CM Alphabetical Index References for 'J36 - Peritonsillar abscess'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code J36. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 475 was previously used, J36 is the appropriate modern ICD10 code.

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code J36:

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code (s). The following references for the code J36 are found in the index:

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Clinical Information

PERITONSILLAR ABSCESS-. an accumulation of purulent material in the area between the palatine tonsil and its capsule.

Information for Patients

An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms.

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