ICD10BillableValid for clinical use
ICD-10 Code J36: Peritonsillar abscess
Reviewed by HealthAssure Clinical TeamUpdated 26 May 2026
What is this code?
ICD-10 codes are diagnosis classification codes used in healthcare records, reporting, coding workflows, and billing support. This code sits within the broader ICD-10 area for Diseases of the respiratory system (J00-J99).
When is it used?
- May be used when a clinician documents peritonsillar abscess in a patient's medical record.
- May appear in hospital records, claims, referrals, and clinical documentation.
- This code can be used as a clinically usable diagnosis entry in standardized coding workflows.
What it does not mean
- A code alone does not explain severity, treatment plan, or outcome.
- A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
Code hierarchy
chapter
10Diseases of the respiratory system (J00-J99)
block
J30-J39Other diseases of upper respiratory tract
currentJ30-J39
Official coding notes
Includes
- abscess of tonsil
- peritonsillar cellulitis
- quinsy
Applicable to
- code (B95-B97) to identify infectious agent.
Excludes1 (do not code together)
- acute tonsillitis (J03.-)
- chronic tonsillitis (J35.0)
- retropharyngeal abscess (J39.0)
- tonsillitis NOS (J03.9-)
Use additional code
- code (B95-B97) to identify infectious agent.
Where you may see this code
You may see this code in hospital records, discharge summaries, insurance claims, encounter documentation, referrals, or other healthcare billing and coding records.
Related specialists
PulmonologistGeneral Physician
Related codes
J30Vasomotor and allergic rhinitiscategoryJ31Chronic rhinitis, nasopharyngitis and pharyngitiscategoryJ32Chronic sinusitiscategoryJ33Nasal polypcategoryJ34Other and unspecified disorders of nose and nasal sinusescategoryJ35Chronic diseases of tonsils and adenoidscategoryJ37Chronic laryngitis and laryngotracheitiscategoryJ38Diseases of vocal cords and larynx, not elsewhere classifiedcategoryJ39Other diseases of upper respiratory tractcategory
Sibling codes
J30Vasomotor and allergic rhinitisJ31Chronic rhinitis, nasopharyngitis and pharyngitisJ32Chronic sinusitisJ33Nasal polypJ34Other and unspecified disorders of nose and nasal sinusesJ35Chronic diseases of tonsils and adenoidsJ37Chronic laryngitis and laryngotracheitisJ38Diseases of vocal cords and larynx, not elsewhere classifiedJ39Other diseases of upper respiratory tract
Coverage-related procedures and services
CPT 72126high
COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITH CONTRAST MATERIAL
Source: CMS coverage guidance
CPT 72125high
COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL
Source: CMS coverage guidance
CPT 72127high
COMPUTED TOMOGRAPHY, CERVICAL SPINE; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS
Source: CMS coverage guidance
CPT 70460high
COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITH CONTRAST MATERIAL(S)
Source: CMS coverage guidance
CPT 70450high
COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL
Source: CMS coverage guidance
CPT 70470high
COMPUTED TOMOGRAPHY, HEAD OR BRAIN; WITHOUT CONTRAST MATERIAL, FOLLOWED BY CONTRAST MATERIAL(S) AND FURTHER SECTIONS
Source: CMS coverage guidance
Mapped diagnoses and classifications
SNOMED_CT 33261009high
Abscess of tonsil
Source: SNOMED International ICD-10 map
SNOMED_CT 15033003high
Peritonsillar abscess
Source: SNOMED International ICD-10 map
SNOMED_CT 102453009high
Peritonsillar cellulitis
Source: SNOMED International ICD-10 map
SNOMED_CT 1010626008high
Recurrent peritonsillar abscess
Source: SNOMED International ICD-10 map
Coding guidelines
Compatibility
Legacy and official ICD code match exactly.
Legacy codes
J36
Common synonyms
Peritonsillar abscess
Frequently asked questions
About this content
This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.