icd 10 code for allergic rhinitis - J30.1

Allergic rhinitis due to pollen 

J30.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
   
This is the American ICD-10-CM version of J30.1. Other international versions of ICD-10 J30.1 may differ.
   
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Information

   
Allergic rhinitis caused by outdoor allergens.
   
Allergic rhinitis that occurs at the same time every year. It is characterized by acute conjunctivitis with lacrimation and itching, and regarded as an allergic condition triggered by specific allergens.
   
Each spring, summer, and fall, trees, weeds and grasses release tiny pollen grains into the air. Some of the pollen ends up in your nose and throat. This can trigger a type of allergy called hay fever.symptoms can include

        sneezing, often with a runny or clogged nose
        coughing and postnasal drip
        itching eyes, nose and throat
        dark circles under the eyes
        taking medicines, using nasal sprays and rinsing out your nose can relieve symptoms.

Allergy shots can help make you less sensitive to pollen and provide long-term relief. Seasonal variety of allergic rhinitis, marked by acute conjunctivitis with lacrimation and itching; regarded as an allergic condition triggered by specific allergens.

Applicable To

    Allergy NOS due to pollen
    Hay fever
    Pollinosis

Approximate Synonyms

Allergic rhinitis (nose congestion), pollen

The following ICD-10-CM Index entries contain back-references to ICD-10-CM J30.1:

    Allergy, allergic (reaction) (to) T78.40
    due to pollen J30.1
    grain J30.1
    grass (hay fever) (pollen) J30.1
    nasal, seasonal due to pollen J30.1
    pollen (any) (hay fever) J30.1
    primrose J30.1
    primula J30.1
    ragweed (hay fever) (pollen) J30.1
    rose (pollen) J30.1
    Senecio jacobae (pollen) J30.1
    tree (any) (hay fever) (pollen) J30.1
    inhalant (rhinitis) J30.89
    pollen J30.1


J30 Vasomotor and allergic rhinitis Includes: spasmodic rhinorrhea Excludes: allergic rhinitis with asthma (bronchial) (J45.909) rhinitis NOS (J31.0) J30.0 Vasomotor rhinitis J30.1 Allergic rhinitis due to pollen Allergy NOS due to pollen Hay fever Pollinosis

SJ30.2 Other seasonal allergic rhinitis

SJ30.5 Allergic rhinitis due to food

SJ30.8 Other allergic rhinitis

SJ30.81 Allergic rhinitis due to animal (cat) (dog) hair and dander

SJ30.89 Other allergic rhinitis

SPerennial allergic rhinitis

SJ30.9 Allergic rhinitis, unspecified

SJ31.0 Chronic rhinitis

SAtrophic rhinitis (chronic)

SGranulomatous rhinitis (chronic)

SHypertrophic rhinitis (chronic)

SObstructive rhinitis (chronic)

SOzena

SPurulent rhinitis (chronic)

SRhinitis (chronic) NOS

SUlcerative rhinitis (chronic)

SExcludes1: allergic rhinitis (J30.1-J30.9)

Svasomotor rhinitis (J30.0)

Includes: Allergic (predominantly) asthma Allergic bronchitis NOS Allergic rhinitis with asthma Atopic asthma Extrinsic allergic asthma Hay fever with asthma 
Idiosyncratic asthma Intrinsic nonallergic asthma Nonallergic asthma

SExcludes 1:

Sdetergent asthma (J69.8)

Seosinophilic asthma (J82)

Slung diseases due to external agents (J60-J70)

SMiner’s asthma (J60)

Swheezing NOS (R06.2) wood asthma (J67.8)

ICD- ALLERGIC DISORDERS

ICD-10CM

477.0

Allergic Rhinitis - pollen
J30.1

477.2

Allergic Rhinitis - danders
J30.81

477.8

Allergic Rhinitis - other
J30.89

477.1

Allergic Rhinitis - foods
J30.5

477.9

Allergic Rhinitis - unspecified
J30.9

372.05

Acute Atopic Conjunctivitis
H10.10- H10.13

372.00

Acute Conjunctivitis, unspecified eye
H10.30

Acute conjunctiviitis, unspecified rt eye
H10.31

Acute conjunctivitis, unspecified, left eye
H10.32

Acute conjunctivitis, unspecified, bilateral
H10.33

372.01

Acute Serous Conjunct-non viral
H10.231 thru H10.233

372.14

Chronic Allergic Conjunctivitis
H10.45

372.13

Seasonal conjunctivitis-childhood
H10.44

Simple chronic conjunctititis - right eye
H10.421

Simple chronic conjunctivitis - left eye
H10.422

Simple chronic conjunctivitis - bilateral
H10.423

Simple chronic conjunctivitis - unspecified eye
H10.429

381.04

OM acute allergic (mucoid) rt ear
H65.111

OM allergic acute & subacute lt ear
H65.112

OM allergic acute & subacute bilateral
H65.113

OM allergic recurrent rt ear
H65.114

OM allergic recurrent lt ear
H65.115

OM allergic recurrent bilateral
H65.116

OM allergic recurrent unspecified
H65.117

OM allergic and subacute unspecified
H65.119

381.1

OM Serous chronic, unspecified ear
H65.20

OM serous chronic, right ear
H65.21

OM Serous chronic, left ear
H65.22

OM Serous chronic, bilateral
H65.23

ICD-9CM

Skin Disorders

ICD-10CM

691.8

Atopic( neurodermatitis) Dermatitis
L20.81

Perioral Dermatitis
L71.0

692.84

Allergic eczema
L20.84

Contact , allergic due to adhesives
L23.1

692.8

Contact, allergic Dermatitis - animal
L23.81

692.0

Contact, allergy due to cosmetics
L23.2

692.3

Contact, allergy due to detergent
L23.89

692.5

Contact, allergy due to drugs (topical)
L23.3

692.4

Contact, allergy due to food
L23.6

692.83

Contact, allergy due to latex, rubber
L23.5

692.6

Contact, allergy due to metals
L23.0

Contact, allergy Due to plants
L23.7

Unspecified contact dermatitis, cosmetics
L25.0

Unspecified contact dermatitis, drugs
L25.1

Unspecified contact dermatitis, dyes
L25.2

Unspec contact dermatitis -other chemicals (cement, insecticide)
L25.3

Unspec contact dermatis food in contact
L25.4

Unspecified contact dermatitis due to plants
L25.5


For the practice of Allergy/Immunology, the conversion from ICD-9-CM to ICD-10-CM will be rather seamless for some diagnoses, and more complicated for others.

Asthma will be coded as intermittent or persistent, and add descriptors:

• Mild
• Moderate
• Severe

A fifth digit will be used to describe asthma as:
• Uncomplicated (x = 1)
• With exacerbation (x = 2)
• With status (x = 3).

FOOD PROTEIN0INDUCED ENTEROCOLITIS SYNDROME

K52.21 is a new, approved ICD-10 code for Food Protein-Induced Enterocolitis Syndrome FPIES is a non-IgE gastrointestinal food hypersensitivity that manifests as delayed, profuse vomiting, often with diarrhea, acute dehydration, and lethargy.

The most common triggers are milk and soy, but any food, even those thought to be hypoallergenic (e.g., rice and oat), can cause an FPIES reaction.

The new code is the result of advocacy efforts by the International Association for Food Protein Enterocolitis, a lay organization and partner of the AAAAI.

REPORTING DISEASES OF THE RESPIRATORY SYSTEM (J00-J99)

For the Respiratory disease, Chapter 10, the ICD-10 chapter instructions include the direction to use additional codes for describing the patient’s tobacco use, if documented in the patient’s medical record.

If the patient does not have a tobacco use, abuse, or dependence, no additional codes are required to describe your patient’s disease. For the patient who does use tobacco products and it is documented in their medical record, we must code not only their use but also describe the type of tobacco used.

The provider is directed to use only one code to describe the patient’s tobacco use. For example, if the patient uses and is dependent, you only assign the code for the dependence.

The provider must also select a sixth digit to describe if the patient’s dependence is as follows:

• 0 Uncomplicated
• 1 In remission
• 3 With withdrawal
• 8 With other nicotine-induced disorders
• 9 With unspecified nicotine-induced disorders

RESPIRATORY SYSTEM SCENARIOS

A patient presents with mild intermittent asthma who has smoked cigarettes in the past, but is not a current smoker. Your diagnosis codes would be J45.20 and Z87.891.

A patient presents with severe persistent asthma who is currently a long-time dependent cigarette smoker. Your diagnosis code would be J45.50 with F17.210.

A patient presents with moderate persistent asthma with no history of smoking or any use of tobacco products. Your correct diagnosis code(s) would be J45.40.

RHINITIS CODES

ICD-10 CM defines vasomotor rhinitis as a form of non-allergic rhinitis that is characterized by nasal congestion and posterior pharyngeal drainage.

J31.0 Chronic Rhinitis NOS description symptoms include:

• Rhinitis 
• Rhinitis (nasal congestion)
• Rhinitis (nasal congestion), chronic
• Rhinitis (nasal congestion), nonallergic
• Rhinitis due to alpha blocking medication
• Rhinitis due to alpha-adrenergic blocking agent
• Rhinitis medicamentosa

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