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J35.3

Billable

Hypertrophy of tonsils with hypertrophy of adenoids

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

What This Code Means

Enlarged tonsils and adenoids occurring together, often causing obstruction of the airway or throat.

Coding Tips

  • •Use this code only when BOTH tonsils and adenoids are documented as hypertrophied
  • •This is a common finding in children and may be associated with sleep apnea or obstructive symptoms

Excludes 1 — Do NOT code together

  • hypertrophy of tonsils and adenoids with tonsillitis and adenoiditis (J35.03)

Code Hierarchy

└J35Chronic diseases of tonsils and adenoids└J35.3Hypertrophy of tonsils with hypertrophy of adenoids
└J35.3Hypertrophy of tonsils with hypertrophy of adenoids

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