ICD-10 Code J35.03 – Chronic tonsillitis and adenoiditis (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Chronic tonsillitis and adenoiditis is J35.03.
2026 ICD-10-CM Diagnosis Code J35.03 – Chronic tonsillitis and adenoiditis

What it is

J35.03 identifies ongoing inflammation of both the tonsils and adenoids. Use it when the record documents a chronic or recurrent condition involving these lymphoid tissues.

Clinical signs

Typical findings include repeated sore throat, enlarged tonsils or adenoids, and persistent throat discomfort. Clinical features vary; refer to documentation.

When to use this code

Use J35.03 when the clinician documents chronic tonsillitis with adenoiditis, or a chronic combined disorder of both structures. It fits cases described as recurrent, persistent, or longstanding inflammation. If the note mentions only one site, code the documented site instead.

Do not use for

Do not use this code for acute tonsillitis, acute adenoiditis, or nonspecific throat infection. Check documentation if the provider does not clearly state chronic involvement of both tonsils and adenoids.

Coding tip

Confirm both anatomic sites and the chronic nature of the condition before assigning J35.03.

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