J30.1 — Allergic rhinitis due to pollen
J30.1 is a billable, specific ICD-10-CM code for allergic rhinitis due to pollen. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Allergy NOS due to pollen
- Hay fever
- Pollinosis
Other codes that can never be billed with J30.1
These codes carry an Excludes1 note pointing at J30.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading J30.1 alone.
Risk adjustment
J30.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
J30.1 is named in 27 Medicare coverage policies — 27 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56538Billing and Coding: Allergen Immunotherapy
- A56558Billing and Coding: Allergy Testing
- A56558Billing and Coding: Allergy Testing
- A56559Billing and Coding: Allergy Skin Testing
How J30.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J30.1.
- Hay fever
- Pollinosis
- Allergy, allergic›due to pollen
- Allergy, allergic›grain
- Allergy, allergic›grass(hay fever) (pollen)
- Allergy, allergic›nasal, seasonal due to pollen
- Allergy, allergic›pollen(any) (hay fever)
- Allergy, allergic›primrose
- Allergy, allergic›primula
- Allergy, allergic›ragweed(hay fever) (pollen)
- Allergy, allergic›rose(pollen)
- Allergy, allergic›Senecio jacobae(pollen)
Related codes at this level
Codes that share J30. If J30.1 is not quite right, the correct code is usually one of these.
Questions about J30.1
- Is J30.1 a billable ICD-10-CM code?
- Yes. J30.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J30.1 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Other diseases of upper respiratory tract (J30-J39).