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Home/Diagnosis/ICD-10 Coding for Tonsillar Hypertrophy

ICD-10 Coding for Tonsillar Hypertrophy

J35.1
J35.3

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

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

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

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

  • • Enlarged tonsils without infection signs

Applicable To

  • • Isolated tonsillar hypertrophy

Important Notes

  • • Ensure documentation specifies hypertrophy without inflammation.

Hypertrophy of tonsils with adenoids

Billable Code
J35.3
Billable

Applicable To

  • • Tonsillar and adenoid hypertrophy

Important Notes

  • • Ensure both tonsillar and adenoid hypertrophy are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

R06.83

Snoring

Use when snoring is directly attributed to tonsillar hypertrophy.

Frequently Asked Questions

What is the ICD-10 code for tonsillar hypertrophy?

The ICD-10 code for tonsillar hypertrophy is J35.1, used when there is hypertrophy without active inflammation.

Can J35.1 be used with tonsillitis?

No, J35.1 cannot be used with tonsillitis. Use J35.0 if inflammation is present.

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