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J35.0 vs J35.1

J35.0 (Chronic tonsillitis and adenoiditis) compared with J35.1 (Hypertrophy of tonsils), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J35.1 carries an Excludes1 note covering J35.0: “hypertrophy of tonsils with tonsillitis (J35.0-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J35.0Chronic tonsillitis and adenoiditisJ35.1Hypertrophy of tonsils
Billing statusNon-billable header

Report instead: J35.01, J35.02, J35.03

Billable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)J00-J99 — Diseases of the Respiratory System (J00-J99)
DefinitionChronic tonsillitis and adenoiditis is a non-billable ICD-10-CM category code (J35.0).Hypertrophy of tonsils is a billable ICD-10-CM diagnosis code (J35.1).
Includes
Enlargement of tonsils

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources