J35.1

J35.1: Hypertrophy of tonsils

Billable / specific codeICD-10-CM

J35.1 is a billable, specific ICD-10-CM code for hypertrophy of tonsils. It is valid for submission on a claim.

Check J35.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

hypertrophy of tonsils with tonsillitis (J35.0-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Enlargement of tonsils

Other codes that can never be billed with J35.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

J03Acute tonsillitis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Enlargement, enlarged›tonsils
Hyperplasia, hyperplastic›tonsils(faucial) (infective) (lingual) (lymphoid)
Hypertrophy, hypertrophic›lingual tonsil(infective)
Hypertrophy, hypertrophic›tonsils(faucial) (infective) (lingual) (lymphoid)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under J35