Acute laryngotracheitis
ICD-10 J04.2 is a billable code used to indicate a diagnosis of acute laryngotracheitis.
Acute laryngotracheitis, commonly referred to as croup, is an inflammatory condition affecting the larynx and trachea, primarily seen in children but can also occur in adults. Clinically, it presents with a characteristic barking cough, stridor, and hoarseness due to swelling of the upper airway. The condition is often viral in origin, with parainfluenza virus being the most common causative agent. Anatomically, the larynx and trachea are critical components of the respiratory system, facilitating airflow and sound production. Disease progression can lead to significant airway obstruction, particularly in young children, necessitating prompt medical intervention. Diagnosis typically involves a thorough clinical evaluation, including history-taking and physical examination, with imaging rarely required unless complications are suspected. Differential diagnoses include epiglottitis and bacterial tracheitis, which require different management approaches. Treatment may involve corticosteroids to reduce inflammation, nebulized epinephrine for severe cases, and supportive care to ensure adequate hydration and airway management.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
J04.2 specifically covers acute laryngotracheitis, which includes cases of croup caused primarily by viral infections. It may also encompass cases with secondary bacterial infections if they present acutely.
J04.2 should be used when the clinical presentation specifically indicates acute laryngotracheitis, particularly with symptoms like stridor and a barking cough, differentiating it from other laryngeal or tracheal conditions.
Documentation should include a detailed history of symptoms, physical examination findings (notably stridor and cough), treatment administered, and any follow-up care provided to support the diagnosis of acute laryngotracheitis.
