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Home/Diagnosis/ICD-10 Coding for Adenotonsillar Hypertrophy

ICD-10 Coding for Adenotonsillar Hypertrophy

J35.3
J35.9

Complete ICD-10-CM coding and documentation guide for icd-10 coding for adenotonsillar hypertrophy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tonsil and Adenoid Enlargement
Tonsillar Hypertrophy with Adenoid Hypertrophy
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Key Information: ICD-10 Coding for Adenotonsillar Hypertrophy

Essential facts and insights about ICD-10 Coding for Adenotonsillar Hypertrophy

Use ICD-10 code J35.3 for hypertrophy of tonsils with hypertrophy of adenoids, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertrophy of tonsils with hypertrophy of adenoids

Billable Code
J35.3
Billable

Diagnostic Criteria

clinical:
  • • Presence of hypertrophy in both tonsils and adenoids with obstructive symptoms.
documentation:
  • • Explicit mention of 'hypertrophy' in medical records.

Applicable To

  • • Hypertrophy of both tonsils and adenoids

Important Notes

  • • Ensure documentation specifies 'hypertrophy' to avoid defaulting to J35.9.

Unspecified chronic disease of tonsils and adenoids

Billable Code
J35.9
Billable

Important Notes

  • • Use as a last resort when documentation lacks specificity.
Ancillary Codes

Additional codes that may be used with this diagnosis

G47.33

Obstructive sleep apnea (adult) (pediatric)

Use with J35.3 when sleep apnea is documented and confirmed by polysomnography.

Frequently Asked Questions

What is the ICD-10 code for adenotonsillar hypertrophy?

The ICD-10 code for adenotonsillar hypertrophy is J35.3, used when both tonsils and adenoids are hypertrophied.

Can 'Grade 3 tonsils' be coded as hypertrophy?

No, 'Grade 3 tonsils' alone cannot be coded as hypertrophy. The term 'hypertrophy' must be explicitly documented.

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