Find information on throat pain diagnosis, including clinical documentation, medical coding, and healthcare guidance. Explore causes, symptoms, and treatment options for pharyngitis, tonsillitis, and other related conditions. Learn about ICD-10 codes for sore throat, throat pain, and relevant medical terminology used in healthcare settings. This resource provides valuable insights for healthcare professionals, medical coders, and individuals seeking information on throat pain diagnosis and management.
Also known as
Pain in throat
Pain localized to the throat area.
Acute upper respiratory infections
Infections of the upper respiratory tract, often causing throat pain.
Chronic pharyngitis and nasopharyngitis
Long-term inflammation of the pharynx, which can cause throat pain.
Dysphagia
Difficulty swallowing, sometimes accompanied by throat pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the throat pain related to a strep infection?
Yes
Code J02.0 Streptococcal pharyngitis
No
Is the pain due to acute tonsillitis?
When to use each related code
Description |
---|
Pain in throat |
Acute pharyngitis |
Chronic pharyngitis |
Patient presents with a primary complaint of throat pain (pharyngalgia, sore throat). Onset of symptoms was [duration] ago and is characterized as [quality of pain: sharp, dull, burning, scratching, etc.]. Associated symptoms may include dysphagia (difficulty swallowing), odynophagia (painful swallowing), hoarseness, cough, fever, headache, myalgia, fatigue, rhinorrhea, or ear pain. The patient denies [pertinent negatives: e.g., difficulty breathing, stridor, recent travel, known exposure to infectious diseases]. Physical examination reveals [objective findings: e.g., erythematous pharynx, tonsillar exudates, swollen lymph nodes, clear lungs]. Rapid strep test [positive/negative]. Differential diagnosis includes pharyngitis (viral, bacterial, or fungal), tonsillitis, postnasal drip, laryngitis, GERD, allergic rhinitis, mononucleosis, and peritonsillar abscess. Assessment: Throat pain likely secondary to [most likely diagnosis]. Plan: [treatment plan: e.g., symptomatic treatment with analgesics, antipyretics, throat lozenges, salt water gargles; antibiotics if bacterial infection suspected; further evaluation if symptoms persist or worsen; patient education on hydration and rest]. Follow-up as needed. ICD-10 code: [appropriate ICD-10 code, e.g., J02.9 for acute pharyngitis, unspecified]. CPT code: [appropriate CPT code for visit and procedures, e.g., 99213 for established patient office visit, level 3].