J35.8

J35.8: Other chronic diseases of tonsils and adenoids

Billable / specific codeICD-10-CM

J35.8 is a billable, specific ICD-10-CM code for other chronic diseases of tonsils and adenoids. It is valid for submission on a claim.

Check J35.8 with the rest of the claim: free scrubber

Inclusion terms

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

Adenoid vegetations
Amygdalolith
Calculus, tonsil
Cicatrix of tonsil (and adenoid)
Tonsillar tag
Ulcer of tonsil

Risk adjustment

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

Medicare coverage

J35.8 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56464Billing and Coding: Flow Cytometry

Alphabetic index entries that lead here

Amygdalolith
Calculus, calculi, calculous›tonsil
Cicatrix›adenoid(and tonsil)
Cicatrix›tonsil(and adenoid)
Concretion›tonsil
Cyst›adenoid(infected)
Cyst›tonsil
Growth›adenoid(vegetative)
Hemorrhage, hemorrhagic›adenoid
Hemorrhage, hemorrhagic›peritonsillar tissue
Hemorrhage, hemorrhagic›tonsil
Keratosis›tonsillaris

Code history

Unchanged in every release from FY2024 to FY2027.