2019 ICD-10-CM Diagnosis Code J35.1

Hypertrophy of tonsils

    2016 2017 2018 2019 Billable/Specific Code
  • J35.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM J35.1 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of J35.1 - other international versions of ICD-10 J35.1 may differ.
Applicable To
  • Enlargement of tonsils
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J35.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • hypertrophy of tonsils with tonsillitis (
    ICD-10-CM Diagnosis Code J35.0

    Chronic tonsillitis and adenoiditis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • acute tonsillitis (J03.-)
    J35.0-
    )
The following code(s) above J35.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J35.1:
  • J00-J99
    2019 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J35
    ICD-10-CM Diagnosis Code J35

    Chronic diseases of tonsils and adenoids

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Chronic diseases of tonsils and adenoids
Approximate Synonyms
  • Hypertrophy (enlargement) of tonsil
  • Hypertrophy of lingual tonsil
ICD-10-CM J35.1 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 011 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face,mouth & neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face,mouth & neck diagnoses or laryngectomy without cc/mcc
  • 154 Other ear, nose, mouth and throat diagnoses with mcc
  • 155 Other ear, nose, mouth and throat diagnoses with cc
  • 156 Other ear, nose, mouth and throat diagnoses without cc/mcc

Convert J35.1 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to J35.1:
  • Type 1 Excludes: J03
    ICD-10-CM Diagnosis Code J03

    Acute tonsillitis

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • acute sore throat (J02.-)
    • hypertrophy of tonsils (J35.1)
    • peritonsillar abscess (J36)
    • sore throat NOS (J02.9)
    • streptococcal sore throat (J02.0)
    Type 2 Excludes
    • chronic tonsillitis (J35.0)

Diagnosis Index entries containing back-references to J35.1:

ICD-10-CM Codes Adjacent To J35.1
J34.3 Hypertrophy of nasal turbinates
J34.8 Other specified disorders of nose and nasal sinuses
J34.81 Nasal mucositis (ulcerative)
J34.89 Other specified disorders of nose and nasal sinuses
J34.9 Unspecified disorder of nose and nasal sinuses
J35 Chronic diseases of tonsils and adenoids
J35.0 Chronic tonsillitis and adenoiditis
J35.01 Chronic tonsillitis
J35.02 Chronic adenoiditis
J35.03 Chronic tonsillitis and adenoiditis
J35.1 Hypertrophy of tonsils
J35.2 Hypertrophy of adenoids
J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
J35.8 Other chronic diseases of tonsils and adenoids
J35.9 Chronic disease of tonsils and adenoids, unspecified
J36 Peritonsillar abscess
J37 Chronic laryngitis and laryngotracheitis
J37.0 Chronic laryngitis
J37.1 Chronic laryngotracheitis
J38 Diseases of vocal cords and larynx, not elsewhere classified
J38.0 Paralysis of vocal cords and larynx

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.