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Home/Diagnosis/ICD-10 Coding for Hypertrophic Tonsils

ICD-10 Coding for Hypertrophic Tonsils

J35.1
J35.3

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

Also Known as:
Enlarged Tonsils
Tonsillar Hypertrophy
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Key Information: ICD-10 Coding for Hypertrophic Tonsils

Essential facts and insights about ICD-10 Coding for Hypertrophic Tonsils

Use ICD-10 code J35.1 for hypertrophy of tonsils, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hypertrophy of tonsils

Billable Code
J35.1
Billable

Diagnostic Criteria

  • • Tonsils are visibly enlarged without signs of infection.

Applicable To

  • • Enlarged tonsils without infection

Important Notes

  • • Ensure documentation specifies hypertrophy rather than just 'large' tonsils.

Hypertrophy of tonsils with adenoids

Billable Code
J35.3
Billable

Diagnostic Criteria

  • • Enlargement of both tonsils and adenoids
  • • Symptoms such as snoring or difficulty swallowing

Applicable To

  • • Enlarged tonsils and adenoids

Important Notes

  • • Ensure both tonsils and adenoids are documented as enlarged.
Ancillary Codes

Additional codes that may be used with this diagnosis

G47.33

Obstructive sleep apnea (adult) (pediatric)

Use when hypertrophy contributes to sleep apnea.

Frequently Asked Questions

What is the ICD-10 code for hypertrophic tonsils?

The ICD-10 code for hypertrophic tonsils is J35.1, used when tonsils are enlarged without infection.

How do you code hypertrophy of tonsils and adenoids?

Use ICD-10 code J35.3 for hypertrophy of both tonsils and adenoids.

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