ICD-10 · PDGM grouping
J30-J39 — Other diseases of upper respiratory tract
Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.2.26.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in range
67
No clinical group
7
A period cannot be grouped from these.
Barred as primary
0
CMS rejects these in the primary position.
Where these codes group
55 of the 67 codes in J30-J39 group to MMTA - Other, but the range is not uniform — it spreads across 3 clinical groups. A further 7 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.
Code families in J30-J39
One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.
- J30Vasomotor and allergic rhinitis7 codes
- J31Chronic rhinitis, nasopharyngitis and pharyngitis3 codes
- J32Chronic sinusitis7 codes
- J33Nasal polyp4 codes
- J34Other and unspecified disorders of nose and nasal sinuses19 codes
- J35Chronic diseases of tonsils and adenoids8 codes
- J36Peritonsillar abscess1 code
- J37Chronic laryngitis and laryngotracheitis2 codes
- J38Diseases of vocal cords and larynx, not elsewhere classified10 codes
- J39Other diseases of upper respiratory tract6 codes
Every code in J30-J39
Descriptions are CMS’s own, abbreviated as CMS abbreviates them.
| Code | Description | Clinical group | Primary position |
|---|---|---|---|
| J300 | Vasomotor rhinitis | A | Can lead a claim |
| J301 | Allergic rhinitis due to pollen | A | Can lead a claim |
| J302 | Other seasonal allergic rhinitis | A | Can lead a claim |
| J305 | Allergic rhinitis due to food | A | Can lead a claim |
| J3081 | Allergic rhinitis due to animal (cat) (dog) hair and dander | A | Can lead a claim |
| J3089 | Other allergic rhinitis | A | Can lead a claim |
| J309 | Allergic rhinitis, unspecified | A | Can lead a claim |
| J310 | Chronic rhinitis | A | Can lead a claim |
| J311 | Chronic nasopharyngitis | A | Can lead a claim |
| J312 | Chronic pharyngitis | A | Can lead a claim |
| J320 | Chronic maxillary sinusitis | A | Can lead a claim |
| J321 | Chronic frontal sinusitis | A | Can lead a claim |
| J322 | Chronic ethmoidal sinusitis | A | Can lead a claim |
| J323 | Chronic sphenoidal sinusitis | A | Can lead a claim |
| J324 | Chronic pansinusitis | A | Can lead a claim |
| J328 | Other chronic sinusitis | A | Can lead a claim |
| J329 | Chronic sinusitis, unspecified | A | Can lead a claim |
| J330 | Polyp of nasal cavity | A | Can lead a claim |
| J331 | Polypoid sinus degeneration | A | Can lead a claim |
| J338 | Other polyp of sinus | A | Can lead a claim |
| J339 | Nasal polyp, unspecified | A | Can lead a claim |
| J340 | Abscess, furuncle and carbuncle of nose | C | Can lead a claim |
| J341 | Cyst and mucocele of nose and nasal sinus | C | Can lead a claim |
| J342 | Deviated nasal septum | A | Can lead a claim |
| J343 | Hypertrophy of nasal turbinates | A | Can lead a claim |
| J3481 | Nasal mucositis (ulcerative) | A | Can lead a claim |
| J348200 | Internal nasal valve collapse, unspecified | None | Cannot lead a claim |
| J348201 | Internal nasal valve collapse, static | A | Can lead a claim, code first applies |
| J348202 | Internal nasal valve collapse, dynamic | A | Can lead a claim, code first applies |
| J348210 | External nasal valve collapse, unspecified | None | Cannot lead a claim |
| J348211 | External nasal valve collapse, static | A | Can lead a claim, code first applies |
| J348212 | External nasal valve collapse, dynamic | A | Can lead a claim, code first applies |
| J34829 | Nasal valve collapse, unspecified | None | Cannot lead a claim |
| J34830 | Odontogenic sinusitis, maxillary sinus | A | Can lead a claim |
| J34831 | Odontogenic sinusitis, ethmoid sinus | A | Can lead a claim |
| J34832 | Odontogenic sinusitis, frontal sinus | A | Can lead a claim |
| J34833 | Odontogenic sinusitis, sphenoid sinus | A | Can lead a claim |
| J34839 | Odontogenic sinusitis, unspecified | None | Cannot lead a claim |
| J3489 | Other specified disorders of nose and nasal sinuses | A | Can lead a claim |
| J349 | Unspecified disorder of nose and nasal sinuses | None | Cannot lead a claim |
| J3501 | Chronic tonsillitis | A | Can lead a claim |
| J3502 | Chronic adenoiditis | A | Can lead a claim |
| J3503 | Chronic tonsillitis and adenoiditis | A | Can lead a claim |
| J351 | Hypertrophy of tonsils | A | Can lead a claim |
| J352 | Hypertrophy of adenoids | A | Can lead a claim |
| J353 | Hypertrophy of tonsils with hypertrophy of adenoids | A | Can lead a claim |
| J358 | Other chronic diseases of tonsils and adenoids | A | Can lead a claim |
| J359 | Chronic disease of tonsils and adenoids, unspecified | None | Cannot lead a claim |
| J36 | Peritonsillar abscess | A | Can lead a claim |
| J370 | Chronic laryngitis | A | Can lead a claim |
| J371 | Chronic laryngotracheitis | A | Can lead a claim |
| J3800 | Paralysis of vocal cords and larynx, unspecified | None | Cannot lead a claim |
| J3801 | Paralysis of vocal cords and larynx, unilateral | A | Can lead a claim |
| J3802 | Paralysis of vocal cords and larynx, bilateral | A | Can lead a claim |
| J381 | Polyp of vocal cord and larynx | A | Can lead a claim |
| J382 | Nodules of vocal cords | A | Can lead a claim |
| J383 | Other diseases of vocal cords | A | Can lead a claim |
| J384 | Edema of larynx | A | Can lead a claim |
| J385 | Laryngeal spasm | A | Can lead a claim |
| J386 | Stenosis of larynx | A | Can lead a claim |
| J387 | Other diseases of larynx | A | Can lead a claim |
| J390 | Retropharyngeal and parapharyngeal abscess | A | Can lead a claim |
| J391 | Other abscess of pharynx | A | Can lead a claim |
| J392 | Other diseases of pharynx | A | Can lead a claim |
| J393 | Upper respiratory tract hypersensitivity reaction, site unsp | L | Can lead a claim |
| J398 | Other specified diseases of upper respiratory tract | L | Can lead a claim |
| J399 | Disease of upper respiratory tract, unspecified | L | Can lead a claim |
Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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