Hypertrophy of tonsils with hypertrophy of adenoids
ICD-10 J35.3 is a billable code used to indicate a diagnosis of hypertrophy of tonsils with hypertrophy of adenoids.
Hypertrophy of tonsils with hypertrophy of adenoids is a condition characterized by the enlargement of both the palatine tonsils and the adenoid tissue located in the nasopharynx. Clinically, patients may present with obstructive symptoms such as snoring, sleep apnea, difficulty breathing, and recurrent respiratory infections. The anatomy involved includes the lymphatic tissues of the oropharynx and nasopharynx, which play a role in immune response. Disease progression can lead to chronic inflammation, obstructive sleep apnea, and potential complications such as impaired speech and swallowing difficulties. Diagnostic considerations include a thorough clinical examination, history of recurrent infections, and imaging studies if necessary, such as X-rays or CT scans to assess the size of the tonsils and adenoids. Treatment often involves conservative management, but surgical intervention, such as tonsillectomy and adenoidectomy, may be indicated in severe cases.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J35.3 covers cases where both the tonsils and adenoids are hypertrophied, leading to obstructive symptoms and recurrent infections. It is essential to document the presence of both conditions to justify the use of this code.
J35.3 should be used when both tonsils and adenoids are enlarged, causing significant obstructive symptoms. If only one is affected, the appropriate code for that specific condition should be selected.
Documentation should include a detailed history of symptoms, physical examination findings, any imaging studies performed, and treatment plans. Notes should clearly indicate the diagnosis of hypertrophy of both tonsils and adenoids.
