icd 10 cm code for enlarged tonsils

by Prof. Delores Conn 4 min read

ICD-10 code J35. 1 for Hypertrophy of tonsils is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

What is the ICD 10 code for tonsillitis?

2018/2019 ICD-10-CM Diagnosis Code J35.1. Hypertrophy of tonsils. 2016 2017 2018 2019 Billable/Specific Code. J35.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for hypertrophy of the tonsils?

Hypertrophy (enlargement) of tonsil; Hypertrophy of lingual tonsil; hypertrophy of tonsils with tonsillitis (J35.0-); Enlargement of tonsils ICD-10-CM Diagnosis Code J35.3 [convert to ICD-9-CM] Hypertrophy of tonsils with hypertrophy of adenoids

What are the signs and symptoms of tonsillitis?

An acute inflammation of the tonsils caused by viruses or bacteria. Signs and symptoms include fever, enlargement of the tonsils, difficulty swallowing, and enlargement of the regional lymph nodes.

What are the other chronic diseases of tonsils and adenoids?

Other chronic diseases of tonsils and adenoids 1 Amygdalolith 2 Tonsilith, ulcer 3 Tonsillar ulceration due to amygdalolith 4 Tonsillolith (tonsil stone)

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What is the ICD-10-CM code for greatly hypertrophied tonsils and adenoids?

J35. 3 - Hypertrophy of tonsils with hypertrophy of adenoids. ICD-10-CM.

What is the ICD-10 code for tonsillar mass?

Malignant neoplasm of tonsillar pillar (anterior) (posterior) C09. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C09.

What is hypertrophy of tonsils?

‌Tonsillar hypertrophy is when you or your child's tonsils become swollen. Enlarged tonsils are a common condition, more likely to happen in children. Surgery to remove the tonsils might be required depending on how large they become. This is called a tonsillectomy.

Can tonsils be ICD-10?

ICD-10 Code for Acute tonsillitis, unspecified- J03. 90- Codify by AAPC.

What is a tonsillar mass?

Tonsil cancer is an abnormal growth of cells that forms in a tonsil. Your tonsils are two oval-shaped pads in the back of your mouth that are part of your body's germ-fighting immune system. Tonsil cancer can cause difficulty swallowing and a sensation that something is caught in your throat.

How do you code chronic hypertrophy of tonsils and adenoids?

Hypertrophy of tonsils with hypertrophy of adenoids J35. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J35. 3 became effective on October 1, 2021.

What is unilateral tonsillar enlargement?

Unilateral tonsillar swelling is a fairly common presenting complaint in an Ear, Nose and Throat (ENT) department. It may or may not be associated with any other symptoms. Most of the time, the tonsil asymmetry is secondary to previous history of tonsillitis, quinsy, and tonsil stones.

What is adenoid and tonsillar hypertrophy?

Tonsil & Adenoid Hypertrophy – About Tonsils are visible through the mouth, but the adenoids are not. Hypertrophy means enlargement. Hypertrophy of the tonsils and the adenoids means this tissue is enlarged. Adenoid hypertrophy is common in children but rare in adults.

What is Grade 3 palatine tonsil hypertrophy?

In grade III, the tonsils occupied between 50 and 75% of the pharyngeal space. In grade IV, the tonsils occupied more than 75% of the pharyngeal space.

What is the code for chronic tonsillitis and hypertrophy of the tonsils?

Hypertrophy of the tonsils is a symptom of tonsillitis. Therefore, assign J35. 0 Chronic tonsillitis only according to the lead term 'tonsillitis' in the ICD-10-AM Alphabetic Index.

How do you code Acute and chronic tonsillitis?

Chronic tonsillitis and adenoiditisJ03.0 Streptococcal tonsillitis. J03.00 Acute streptococcal tonsillitis, unspecified. ... J03.8 Acute tonsillitis due to other specified organisms. J03.80 Acute tonsillitis due to other specified organisms. ... J03.9 Acute tonsillitis, unspecified. J03.90 Acute tonsillitis, unspecified.

What are tonsils?

The tonsils (palatine tonsils) are a pair of soft tissue masses located at the rear of the throat (pharynx). Each tonsil is composed of tissue similar to lymph nodes, covered by pink mucosa (like on the adjacent mouth lining). Running through the mucosa of each tonsil are pits, called crypts.

What causes lingual tonsil hypertrophy?

The most common cause of lingual tonsillar enlargement is compensatory enlargement following tonsillectomy. Other potential causes include lymphoma, chronic infection and HIV. Irritation such as from smoking and gastro‐oesophageal reflux disease (GORD) can also cause lingual tonsil hypertrophy.

What problems can enlarged tonsils cause?

Common problems are partial airway obstruction during sleep that results in restless sleep, frequent awakening from sleep or even sleep apnea. In some cases, they can also cause trouble swallowing foods due to obstruction.

Do enlarged tonsils need to be removed?

Surgery is typically recommended only if you have other related symptoms, such as difficulty swallowing, persistent pain, swelling of the glands in your neck, or one tonsil that keeps getting larger and larger over time. The good news is most of the time, having one enlarged tonsil is simply due to a minor issue.

When do tonsils need to be removed?

There are two main reasons it may be time to undergo a tonsillectomy (removal of the tonsils): You have chronic sleep apnea or snoring that disrupts your sleep. You experience recurrent tonsillitis (inflammation of the tonsils) caused by strep throat or other infections.

Coding Notes for J35.1 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

MS-DRG Mapping

DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.

ICD-10-CM Alphabetical Index References for 'J35.1 - Hypertrophy of tonsils'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code J35.1. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 474.11 was previously used, J35.1 is the appropriate modern ICD10 code.

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