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Home/Diagnosis/ICD-10 Coding for Tonsillectomy

ICD-10 Coding for Tonsillectomy

J03.81
J35.01

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

Also Known as:
Tonsil Removal
Tonsil Surgery
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Key Information: ICD-10 Coding for Tonsillectomy

Essential facts and insights about ICD-10 Coding for Tonsillectomy

Use ICD-10 code J03.81 for acute recurrent tonsillitis due to h. influenzae, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Acute recurrent tonsillitis due to H. influenzae

Billable Code
J03.81
Billable

Diagnostic Criteria

  • • Recurrent infections confirmed by culture

Applicable To

  • • Recurrent tonsillitis due to H. influenzae

Important Notes

  • • Ensure documentation specifies the recurrent nature and bacterial cause.

Chronic tonsillitis

Billable Code
J35.01
Billable

Diagnostic Criteria

  • • Symptoms persisting >2 weeks with tonsillar crypt scarring

Applicable To

  • • Chronic inflammation of tonsils

Important Notes

  • • Document chronicity and any scarring or hypertrophy.
Ancillary Codes

Additional codes that may be used with this diagnosis

B96.2

H. influenzae as the cause of diseases classified elsewhere

Use to specify the bacterial cause of tonsillitis.

Frequently Asked Questions

What is the ICD-10 code for tonsillectomy?

The ICD-10 code for tonsillectomy is primarily related to the underlying condition, such as J03.81 for acute recurrent tonsillitis due to H. influenzae.

How do you code a tonsillectomy with adenoidectomy?

Use CPT code 42820 for tonsillectomy and adenoidectomy performed on patients under 12 years of age.

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