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J35.9

Billable

Chronic disease of tonsils and adenoids, unspecified

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

What This Code Means

A long-term disorder affecting the tonsils and/or adenoids that doesn't fit into more specific categories.

Coding Tips

  • Use this code only when the specific type of chronic tonsil/adenoid disease cannot be determined from documentation
  • Query the provider if more specific information is available to assign a more precise code

Code Hierarchy

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