2026 ICD-10-CM Diagnosis Code J35.3Hypertrophy of tonsils with hypertrophy of adenoids

ICD-10-CM Codes›J00–J99›J30-J39›J35

ICD-10-CM J35.3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

J35.3 is a billable ICD-10-CM diagnosis code for hypertrophy of tonsils with hypertrophy of adenoids. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 154 through 156. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Acute and chronic tonsillitis.

Code Identity

ICD-10-CM Code
J35.3
Billable Status
Yes — Valid for Submission
Code Describes
Hypertrophy of tonsils with hypertrophy of adenoids
Short Description
Hypertrophy of tonsils with hypertrophy of adenoids
Same as the full description in the CMS dataset.
Parent Code
J35
Chronic diseases of tonsils and adenoids

Code Classification

ChapterJ00–J99Diseases of the respiratory system
SectionJ30-J39Other diseases of upper respiratory tract
CategoryJ35Chronic diseases of tonsils and adenoids
This CodeJ35.3Hypertrophy of tonsils with hypertrophy of adenoids

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Enlarged tonsil
  • Enlargement of left tonsil
  • Enlargement of right tonsil
  • Enlargement of tonsil or adenoid
  • Finding of size of tonsil
  • Hyperplasia of adenoids
  • Hyperplasia of tonsils
  • Hyperplasia of tonsils AND adenoids
  • Hypertrophy of adenoids
  • Hypertrophy of lingual tonsil
  • Hypertrophy of tonsils
  • Hypertrophy of tonsils AND adenoids
  • Tonsil and/or adenoid hypertrophy

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • hypertrophy of tonsils and adenoids with tonsillitis and adenoiditis J35.03

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Enlargement, enlarged
      • adenoids
        • with tonsils
    • Enlargement, enlarged
      • tonsils
        • with adenoids
    • Hyperplasia, hyperplastic
      • tonsils (faucial) (infective) (lingual) (lymphoid)
        • with adenoids
    • Hypertrophy, hypertrophic
      • adenoids (infective)
        • with tonsils
    • Hypertrophy, hypertrophic
      • lingual tonsil (infective)
        • with adenoids
    • Hypertrophy, hypertrophic
      • tonsils (faucial) (infective) (lingual) (lymphoid)
        • with adenoids

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR RSP004
Acute and chronic tonsillitis
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Adenoids

Adenoids are a patch of tissue that is high up in the throat, just behind the nose. They, along with the tonsils, are part of the lymphatic system. The lymphatic system clears away infection and keeps body fluids in balance. The adenoids and tonsils work by trapping germs coming in through the mouth and nose.

The full article covers:

  • What are adenoids?
  • What are enlarged adenoids?
  • What causes enlarged adenoids?
  • What problems can enlarged adenoids cause?
  • How can enlarged adenoids be diagnosed?
  • What are the treatments for enlarged adenoids?
  • What is an adenoidectomy and why might I my child need one?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert J35.3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
474.10 Hypertrophy T and A
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About J35.3Overview

Is J35.3 (Chronic diseases of tonsils and adenoids) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report hypertrophy of tonsils with hypertrophy of adenoids on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does J35.3 group to?

When hypertrophy of tonsils with hypertrophy of adenoids is the principal diagnosis on an inpatient stay, it groups to MS-DRG 154, 155, 156, with relative weights from 0.6911 to 1.5635 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of J35.3?

Under the General Equivalence Mappings, hypertrophy of tonsils with hypertrophy of adenoids converts to ICD-9-CM 474.10 (hypertrophy T and A). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.