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J35.01

Billable

Chronic tonsillitis

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Long-lasting inflammation of the tonsils that persists over time, causing recurrent sore throat and swelling.

Coding Tips

  • •Chronic tonsillitis requires documentation of persistent or recurrent symptoms; distinguish from acute tonsillitis (J03.x codes)
  • •Document frequency and duration of episodes to support the chronic diagnosis

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