ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J35.1

Billable / Specific

Hypertrophy of tonsils

J35
Block
1
Synonyms
35
LCDs
4
Payer Policies
1
Linked CPTs

About ICD-10-CM J35.1

ICD-10-CM code J35.1 represents Hypertrophy of tonsils. This is a billable/specific code in the Respiratory System chapter (block J35). The 2026 edition of ICD-10-CM J35.1 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J35.1. Per CMS ICD-10-CM Tabular 2026.

  • Enlargement of tonsils

Type 1 Excludes

Pure excludes, these codes can never be coded together with J35.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

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

Medicare LCD Coverage for J35.1

Local Coverage Determinations (LCDs) from CMS MACs that list J35.1 as a covered diagnosis.

35 LCDs

Showing top 10 of 35 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95056 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95004 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95027 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95076 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95024 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95070 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95028 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95017 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 86003 →
CMS LCD: Billing and Coding: Allergy Testing
Article ID: 57181, Effective: 2025-10-01 00:00:00, 527 covered, 0 non-covered
CPT 95018 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J35.1.

4 policies

2 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Coblation
Policy ID: CPB-0475

2 Medicare

Billing and Coding: Allergy Testing
Policy ID: ART-57181
Billing and Coding: Allergy Testing
Policy ID: ART-57473

CPT Codes Commonly Billed with J35.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 42820 Tonsillectomy — chronic tonsillitis, hypertrophic tonsils, sleep apnea, peritonsillar abscess, acute tonsillitis, mouth breathing, dysphagia ENT

Convert J35.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J35.1 47411 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J35.1, Billing FAQ

Is ICD-10 code J35.1 billable? +

Yes, J35.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J35.1? +

ICD-10 J35.1 includes: Enlargement of tonsils.

What codes are Type 1 Excludes for J35.1? +

Type 1 Excludes (never code together with J35.1): hypertrophy of tonsils with tonsillitis (J35.0-)

What CPT codes are commonly billed with J35.1? +

Procedures frequently paired with J35.1 include: 42820.

What ICD-9 codes does J35.1 map to? +

Per CMS GEMs, J35.1 maps to ICD-9 codes: 47411. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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