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

ICD-10 J35.2

Billable / Specific

Hypertrophy of adenoids

J35
Block
1
Synonyms
35
LCDs
5
Payer Policies
0
Linked CPTs

About ICD-10-CM J35.2

ICD-10-CM code J35.2 represents Hypertrophy of adenoids. This is a billable/specific code in the Respiratory System chapter (block J35). The 2026 edition of ICD-10-CM J35.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J35.2. Per CMS ICD-10-CM Tabular 2026.

  • Enlargement of adenoids

Type 1 Excludes

Pure excludes, these codes can never be coded together with J35.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • hypertrophy of adenoids with adenoiditis (J35.0-)

Medicare LCD Coverage for J35.2

Local Coverage Determinations (LCDs) from CMS MACs that list J35.2 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 J35.2.

5 policies

2 Aetna

Obstructive Sleep Apnea in Adults - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0004
Septoplasty and Rhinoplasty - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0005

1 Cigna

Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554)
Policy ID: MM_0554

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 J35.2

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

No procedure linkages on file for J35.2

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J35.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
J35.2 47412 00000

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

ICD-10 J35.2, Billing FAQ

Is ICD-10 code J35.2 billable? +

Yes, J35.2 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 J35.2? +

ICD-10 J35.2 includes: Enlargement of adenoids.

What codes are Type 1 Excludes for J35.2? +

Type 1 Excludes (never code together with J35.2): hypertrophy of adenoids with adenoiditis (J35.0-)

What ICD-9 codes does J35.2 map to? +

Per CMS GEMs, J35.2 maps to ICD-9 codes: 47412. 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 May 31, 2026.

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