Patient presents with complaints consistent with tonsillar hypertrophy.  Symptoms include snoring, sleep apnea, difficulty swallowing (dysphagia), mouth breathing, nasal obstruction, recurrent tonsillitis, or voice changes.  Physical examination reveals enlarged tonsils, potentially obstructing the airway, with or without evidence of tonsillar exudate, erythema, or crypts.  The tonsillar grading was assessed (Grade 1-4).  Differential diagnoses considered include adenoid hypertrophy, peritonsillar abscess, infectious mononucleosis, and other causes of upper airway obstruction.  The diagnosis of tonsillar hypertrophy was made based on clinical presentation and physical examination findings.  Treatment options discussed include watchful waiting, medical management such as nasal corticosteroids or antibiotics if indicated for concurrent infection, and surgical management such as tonsillectomy and adenoidectomy if symptoms are severe or persistent.  Patient education provided regarding the risks and benefits of each treatment option.  Follow-up scheduled to monitor symptom progression and treatment response.  ICD-10 code J35.0 (Chronic tonsillitis) or J35.1 (Hypertrophy of tonsils) is considered, depending on the presence of chronic inflammation.  CPT codes for potential procedures, such as tonsillectomy (42820, 42821, 42825, 42826) or adenoidectomy (42830, 42831, 42835, 42836), were reviewed and will be selected based on the chosen treatment plan.