Chronic diseases of tonsils and adenoids
ICD-10 J35 is a used to indicate a diagnosis of chronic diseases of tonsils and adenoids.
Chronic diseases of the tonsils and adenoids, classified under ICD-10 code J35, encompass conditions such as chronic tonsillitis and adenoid hypertrophy. Clinically, patients may present with recurrent sore throats, difficulty swallowing, and obstructive sleep apnea due to enlarged tonsils or adenoids. The tonsils and adenoids are lymphoid tissues located in the oropharynx and nasopharynx, respectively, playing a role in immune response. Over time, chronic inflammation can lead to hypertrophy, resulting in airway obstruction and respiratory complications. Diagnostic considerations include a thorough clinical history, physical examination, and possibly imaging studies to assess the size of the tonsils and adenoids. In some cases, a sleep study may be warranted to evaluate for obstructive sleep apnea. Management typically involves conservative measures, such as antibiotics for infections, and may escalate to surgical intervention (tonsillectomy or adenoidectomy) in cases of significant obstruction or recurrent infections.
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 covers chronic tonsillitis, adenoid hypertrophy, and other chronic conditions affecting the tonsils and adenoids. These conditions are characterized by persistent inflammation and may lead to complications such as obstructive sleep apnea.
J35 should be used when the condition is chronic and has been present for an extended period, leading to recurrent symptoms. It is distinct from acute conditions, which may be coded under J03 for acute tonsillitis.
Documentation should include a detailed history of symptoms, physical examination findings, and any imaging studies performed. Evidence of recurrent infections or complications related to the tonsils and adenoids is crucial for supporting the use of J35.
