InnovaRx Innova Health Strategies

J36

Peritonsillar abscess

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 13 never code together
J36code
Excludes1
J00-J99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
  • neoplasms (C00-D49)C00-D49
  • smoke inhalation (T59.81-)T59.81-
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 12
J36code
Includes
  • abscess of tonsil
  • peritonsillar cellulitis
  • quinsy
Use additional code
J00-J99chapter
Notes
  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).J40
Use additional code
  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)Z77.22
  • exposure to tobacco smoke in the perinatal period (P96.81)P96.81
  • history of tobacco dependence (Z87.891)Z87.891
  • occupational exposure to environmental tobacco smoke (Z57.31)Z57.31
  • tobacco dependence (F17.-)F17.-
  • tobacco use (Z72.0)Z72.0
Index entries leading here 8
  • Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic) L02.91
    • intratonsillar J36
    • circumtonsillar J36
    • lingual K14.0
    • peritonsillar J36
    • posttonsillar J36
    • tonsil (s) (lingual) J36
    • tonsillopharyngeal J36
  • Angina (attack) (cardiac) (chest) (heart) (pectoris) (syndrome) (vasomotor) I20.9
  • Cellulitis (diffuse) (phlegmonous) (septic) (suppurative) L03.90
    • tonsil J36
    • peritonsillar J36
  • Cynanche
    • tonsillaris J36
  • Hemorrhage, hemorrhagic (concealed) R58
    • peritonsillar tissue J35.8
      • due to infection J36
  • Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer) I96
  • Peritonsillitis J36
  • Quinsy (gangrenous) J36
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Block
J30-J39

Present FY2024–FY2027.