DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

J00 diagnosis code · Billable category · FY2027

J00 Acute nasopharyngitis [common cold]

  • Billable
  • Not CC/MCC
  • POA reported

J00 ICD-10 code: a billable diagnosis code in FY2027; the category has no subdivisions.

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J00-J06 Acute upper respiratory infections (J00-J06)
  3. J00 Acute nasopharyngitis [common cold]
CC / MCC
Neither
MS-DRG
011-013, 152-153
HCC V28
–
POA
Reported
Code Editor
–
Index entries
20

Instructions

At J00

Inclusion terms

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

Excludes1

  • acute pharyngitis (J02.-) J02
  • acute sore throat NOS (J02.9) J02.9
  • influenza virus with other respiratory manifestations (J09.X2, J10.1, J11.1) J09.X2 J10.1 J11.1
  • pharyngitis NOS (J02.9) J02.9
  • rhinitis NOS (J31.0) J31.0
  • sore throat NOS (J02.9) J02.9

Excludes2

  • allergic rhinitis (J30.1-J30.9) J30.1 J30.9
  • chronic pharyngitis (J31.2) J31.2
  • chronic rhinitis (J31.0) J31.0
  • chronic sore throat (J31.2) J31.2
  • nasopharyngitis, chronic (J31.1) J31.1
  • vasomotor rhinitis (J30.0) J30.0

Notes that also apply

Block J00-J06 instructions (Excludes1 1): printed on the block page.

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Catarrh, catarrhal (acute) (febrile) (infectious) (inflammation) → J00
  • Cold → J00
  • Coryza (acute) → J00
  • Nasopharyngitis (acute) (infective) (streptococcal) (subacute) → J00
  • Coldcommon (head) → J00
  • Coldhead → J00
  • Coldsymptoms → J00
  • Coldvirus → J00
  • Commoncold (head) → J00
  • Fever (inanition) (of unknown origin) (persistent) (with chills) (with rigor)catarrhal (acute) → J00
  • Inflammation, inflamed, inflammatory (with exudation)catarrhal → J00
  • Rhinitis (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative)acute → J00
  • Rhinitis (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative)infective → J00
  • Rhinitis (atrophic) (catarrhal) (chronic) (croupous) (fibrinous) (granulomatous) (hyperplastic) (hypertrophic) (membranous) (obstructive) (purulent) (suppurative) (ulcerative)pneumococcal → J00
  • Symptoms NECcold → J00
  • Symptoms NECviral cold → J00
  • Catarrh, catarrhal (acute) (febrile) (infectious) (inflammation)nasopharyngeal (chronic)acute → J00
  • Drip, postnasal (chronic)due tocommon cold → J00
  • Infection, infected, infective (opportunistic)respiratory (tract) NECrhinovirus → J00
  • Postnasal dripdue tocommon cold → J00

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for J00
CC / MCCNeither
Appendix BPre-MDC, MS-DRG 011-013 (Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC…); MDC 03 Diseases and Disorders of the Ear, Nose, Mouth and Throat, MS-DRG 152-153 (Otitis Media and URI with MCC…)
Code Editor–
POAReported
HCC V28–

CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.

Hierarchy