J00

Acute nasopharyngitis [common cold]

FY2027Chapter 10: Diseases of the respiratory system/J00–J06 Acute upper respiratory infections

BillableComplete code, valid to report

J00 is a billable ICD-10-CM diagnosis code for acute nasopharyngitis [common cold]. It is part of the FY2027 code set, effective October 1, 2026. The Alphabetic Index lists it under 20 entries. Its coding notes include a Use additional code instruction, 7 Excludes1 entries and 15 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (7 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
Also from chapter/block level (1 note)
Inherited from J00–J06 Acute upper respiratory infections
  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
Also from chapter/block level (9 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Inclusion terms

Conditions classified to this code.

This code
  • Acute rhinitis
  • Coryza (acute)
  • Infective nasopharyngitis NOS
  • Infective rhinitis
  • Nasal catarrh, acute
  • Nasopharyngitis NOS

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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).

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 20 entries

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