J35.1
Billable

Hypertrophy of tonsils

Billable / Specific Code

What is Hypertrophy of tonsils?

ICD-10-CM J35.1 is the diagnosis code for Hypertrophy of tonsils. This code falls under the section "Other diseases of upper respiratory tract" within Chapter 10 — Diseases of the respiratory system (J00-J99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for J35.1

✅ This Code Includes

  • Enlargement of tonsils

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as J35.1. They are mutually exclusive:

  • hypertrophy of tonsils with tonsillitis (J35.0-)

ICD-10-CM Code Hierarchy

Understanding where J35.1 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is J35.1 a billable ICD-10-CM code?

Yes, J35.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does J35.1 mean?

J35.1 is the ICD-10-CM diagnosis code for "Hypertrophy of tonsils". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of J35.1?

The parent code of J35.1 is J35 ("Chronic diseases of tonsils and adenoids"). J35.1 provides a more specific classification within this category.

What section is J35.1 in?

J35.1 is located in Section J30-J39 — "Other diseases of upper respiratory tract" within Chapter 10 of the ICD-10-CM Tabular List.

When should I use J35.1?

Use J35.1 when the patients documented diagnosis matches "Hypertrophy of tonsils" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Hypertrophy of tonsils?

The ICD-10-CM code for Hypertrophy of tonsils is J35.1.

Can J35.1 be used for primary diagnosis?

Yes, J35.1 can be used as a primary diagnosis code since it is billable and specific.

What chapter is J35.1 in?

J35.1 is in Chapter 10 of the ICD-10-CM Tabular List.

What conditions are excluded from J35.1?

Type 1 Excludes for J35.1 include: hypertrophy of tonsils with tonsillitis (J35.0-).

Is J35.1 valid for 2026?

Yes, J35.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousJ35.03Chronic tonsillitis and adenoiditisNext →J35.2Hypertrophy of adenoids
Code Details
J35.1
Hypertrophy of tonsils
Billable / Specific Code
10 — Diseases of the respiratory system (J00-J99)
J30-J39 — Other diseases of upper respiratory tract
2026 ICD-10-CM