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Home/Diagnosis/ICD-10 Coding for Swollen Tonsils

ICD-10 Coding for Swollen Tonsils

J35.1
J35.2

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

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

Essential facts and insights about ICD-10 Coding for Swollen 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 enlarged without acute symptoms

Applicable To

  • • Enlarged tonsils

Important Notes

  • • Ensure documentation specifies hypertrophy without acute symptoms.

Hypertrophy of tonsils with sore throat

Billable Code
J35.2
Billable

Diagnostic Criteria

  • • Pain duration >48 hours
  • • Tonsil grading
  • • Absence of strep/other infection

Applicable To

  • • Enlarged tonsils with pain

Important Notes

  • • Document sore throat duration and severity.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.83

Snoring

Use when snoring is documented due to tonsillar hypertrophy.

R09.82

Postnasal drip

Use when chronic mucus drainage is linked to tonsillar enlargement.

Frequently Asked Questions

What is the ICD-10 code for swollen tonsils?

The ICD-10 code for swollen tonsils without acute symptoms is J35.1, while J35.2 is used if a sore throat is present.

How to document swollen tonsils for ICD-10 coding?

Document tonsil size using the Brodsky scale, and note any associated symptoms like sore throat or snoring.

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