Adenoid vegetations

This code describes the presence of enlarged adenoids, which are lymphatic tissues located in the nasopharynx. These vegetations can obstruct the nasal airway, leading to various respiratory and auditory symptoms.

Use this code when documentation indicates hypertrophied adenoids causing symptoms such as chronic nasal obstruction, mouth breathing, recurrent otitis media, or sleep-disordered breathing. Physician notes confirming adenoid enlargement, often identified during an ENT examination, support its use.

• Differentiate from acute adenoiditis (474.0) or chronic adenoiditis (474.1), which involve inflammation rather than just enlargement.
• Consider co-reporting with codes for associated conditions like otitis media (381.xx, 382.xx) or sleep apnea (327.2x).
• Ensure the documentation clearly states "adenoid vegetations" or "adenoid hypertrophy" as the diagnosis.