Tonsillar Hypertrophy ICD-10-CM Codes | 2023

Which Tonsillar Hypertrophy ICD Codes are Billable

Tonsillar hypertrophy, the enlargement of the tonsils, can lead to various health issues, including breathing and swallowing difficulties. Here are ten commonly used ICD-10-CM codes for Tonsillar Hypertrophy, along with brief clinical descriptions:

J35.1 - Hypertrophy of tonsils with hypertrophy of adenoids: Used when both the tonsils and adenoids are enlarged.

J35.2 - Hypertrophy of tonsils with sore throat: Applied when a sore throat accompanies tonsillar hypertrophy.

J35.3 - Hypertrophy of tonsils with hypertrophy of adenoids with sore throat: Utilized when both the tonsils and adenoids are enlarged and the patient has a sore throat.

J35.8 - Other chronic diseases of tonsils and adenoids: Used for chronic conditions affecting the tonsils and adenoids not classified elsewhere.

J35.9 - Chronic disease of tonsils and adenoids, unspecified: Applied when the chronic condition of the tonsils and adenoids is unspecified.

R68.83 - Choking sensation: Utilized when the patient experiences a choking sensation due to tonsillar hypertrophy.

R06.6 - Hiccough: Used when tonsillar hypertrophy leads to persistent hiccoughs.

R06.83 - Snoring: Applied when snoring is a result of tonsillar hypertrophy.

R06.89 - Other abnormalities of breathing: Utilized for other breathing abnormalities caused by tonsillar hypertrophy.

R09.82 - Postnasal drip: Used when tonsillar hypertrophy results in postnasal drip.

Which Tonsillar Hypertrophy ICD Codes are Billable

The billable status of the mentioned ICD-10 codes for tonsillar hypertrophy varies:

J35.1 - Hypertrophy of tonsils with hypertrophy of adenoids: Yes, billable. Medical expenses related to tonsillar and adenoid hypertrophy can be claimed.

J35.2 - Hypertrophy of tonsils with sore throat: Yes, billable. Costs associated with tonsillar hypertrophy accompanied by a sore throat can be reimbursed.

J35.3 - Hypertrophy of tonsils with hypertrophy of adenoids with sore throat: Yes, billable. Medical expenses for tonsillar and adenoid hypertrophy cases and a sore throat can be claimed.

J35.8 - Other chronic diseases of tonsils and adenoids: Yes, billable. Costs related to other chronic conditions affecting the tonsils and adenoids can be reimbursed.

J35.9 - Chronic disease of tonsils and adenoids, unspecified: Yes, billable. Medical expenses for chronic tonsillar and adenoid conditions with unspecified characteristics can be claimed.

R68.83 - Choking sensation: Yes, billable. Expenses related to a choking sensation caused by tonsillar hypertrophy can be reimbursed.

R06.6 - Hiccough: Yes, billable. Medical expenses for persistent hiccoughs resulting from tonsillar hypertrophy can be claimed.

R06.83 - Snoring: Yes, billable. Costs associated with snoring caused by tonsillar hypertrophy can be reimbursed.

R06.89 - Other abnormalities of breathing: Yes, billable. Medical expenses for other breathing abnormalities caused by tonsillar hypertrophy can be claimed.

R09.82 - Postnasal drip: Yes, billable. Expenses related to postnasal drip resulting from tonsillar hypertrophy can be claimed.

Clinical Information

• Tonsillar hypertrophy refers to the enlargement of the tonsils and lymphoid tissues at the throat's back.
• It can occur in children and adults and may result from various causes, including infections (e.g., recurrent tonsillitis), allergies, or chronic irritation.
• Assessment involves a physical examination to evaluate the tonsils' size, condition, and associated symptoms.
• Symptoms of tonsillar hypertrophy can include snoring, difficulty swallowing, a sensation of a lump in the throat, or sleep apnea in severe cases.
• Management options depend on the underlying cause and the severity of symptoms.
• Antibiotics may be prescribed for tonsillitis or recurrent infections, while allergy management can help reduce inflammation.
• In some cases, surgical removal of the tonsils (tonsillectomy) may be recommended, particularly for severe or recurrent issues.
• Close monitoring and follow-up are essential to assess tonsil size and symptom progression, especially in children.
• Patient education should include information on tonsillectomy's potential benefits and risks and post-operative care instructions when applicable.
• Referral to an ear, nose, and throat (ENT) specialist may be necessary for a comprehensive evaluation and management plan, especially when considering surgical intervention.

Synonyms Include

• Enlarged Tonsils
• Tonsil Hypertrophy
• Tonsil Enlargement
• Adenotonsillar Hypertrophy
• Obstructive Tonsillar Hypertrophy

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