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J35.8

Billable

Other chronic diseases of tonsils and adenoids

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

What This Code Means

This code describes chronic (long-lasting) conditions affecting the tonsils and adenoids that don't fit into other specific categories, such as chronic inflammation, scarring, or other persistent problems with these lymphoid tissues. These conditions typically develop over time and may cause ongoing symptoms like difficulty swallowing or breathing.

Coding Tips

  • Use this code only when the specific chronic tonsil or adenoid condition is not classifiable under other J35 codes (such as J35.0 for chronic tonsillitis or J35.1 for hypertrophy); always review documentation to identify the exact nature of the chronic disease
  • This code is typically used for conditions that have persisted for weeks or months; ensure documentation supports chronicity and that acute tonsillitis or other acute conditions are not being coded instead

Code Hierarchy

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