J35.2 Hypertrophy of adenoids

ICD10CM code

#### Name of the Condition
- Hypertrophy of Adenoids
- Adenoid Enlargement

#### Summary
Hypertrophy of adenoids refers to the abnormal enlargement of the adenoids, lymphatic tissue located in the upper part of the throat behind the nose. This condition often occurs in children and can lead to breathing difficulties, recurring ear infections, and other respiratory issues.

#### Causes
- Repeated infections or inflammation of the adenoids.
- Allergic reactions.
- Environmental irritants like pollution and tobacco smoke.
- Possible genetic predisposition.

#### Risk Factors
- Children, particularly those aged between 3 and 7 years.
- Family history of adenoid or tonsil issues.
- Frequent exposure to infections, such as those in daycare settings.

#### Symptoms
- Nasal congestion or obstruction.
- Mouth breathing, especially during sleep.
- Snoring or sleep apnea.
- Recurrent ear infections or earaches.
- Difficulty breathing through the nose.

#### Diagnosis
- Physical examination by a healthcare provider.
- Nasal endoscopy to visualize the adenoids.
- X-rays or imaging studies to assess the size and impact on surrounding structures.

#### Treatment Options
- Information often helps with mild symptoms.
- Medications such as nasal corticosteroid sprays to reduce inflammation.
- Adenoidectomy, a surgical procedure, may be recommended for severe cases or when conservative treatment fails.

#### Prognosis and Follow-Up
- Most children outgrow the condition by their teenage years.
- Regular follow-ups ensure symptoms are managed and complications are prevented.

#### Complications
- Chronic sinusitis or recurrent respiratory infections.
- Otitis media with effusion (fluid buildup in the middle ear).
- Potential impacts on facial bone development in severe, prolonged cases.

#### Lifestyle & Prevention
- Maintaining good hygiene to reduce infection risks.
- Limiting exposure to tobacco smoke and other environmental irritants.
- Managing allergies effectively to prevent inflammation.

#### When to Seek Professional Help
- Persistent or worsening symptoms such as difficulty breathing or sleep disturbances.
- Repeated ear infections or hearing concerns.

#### Additional Resources
- American Academy of Otolaryngology: [www.entnet.org](https://www.entnet.org)
- KidsHealth: [www.kidshealth.org](https://www.kidshealth.org)

#### Tips for Medical Coders
- Ensure that the diagnosis is clearly documented with reference to the specific symptoms and diagnostic methods used.
- Be aware of common comorbid conditions, such as otitis media, that might also require coding.
- Review surgical notes carefully if an adenoidectomy has been performed to ensure accurate procedural coding.

Medical Policies and Guidelines for Hypertrophy of adenoids

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