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ICD-10 Guide
ICD-10 CodesJ04.30

J04.30

Supraglottitis, unspecified, without obstruction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J04.30 is a billable code used to indicate a diagnosis of supraglottitis, unspecified, without obstruction.

Key Diagnostic Point:

Supraglottitis is an inflammation of the supraglottic region of the larynx, which includes the epiglottis and surrounding structures. This condition can present with symptoms such as sore throat, difficulty swallowing, hoarseness, and stridor. The inflammation may be caused by infections, often viral or bacterial, and can lead to significant respiratory distress if not managed appropriately. The anatomy involved includes the larynx, particularly the epiglottis, which plays a crucial role in protecting the airway during swallowing. Disease progression can vary; in mild cases, symptoms may resolve with conservative management, while severe cases can lead to airway obstruction, necessitating emergency intervention. Diagnostic considerations include a thorough clinical examination, imaging studies, and possibly laryngoscopy to assess the degree of inflammation and rule out other causes of airway compromise. It is essential to differentiate supraglottitis from other upper airway infections, such as epiglottitis, which is characterized by obstruction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires clinical evaluation and possibly imaging.
  • Treatment complexity: May involve antibiotics and airway management.
  • Documentation requirements: Detailed clinical notes and symptom descriptions are necessary.
  • Coding specificity: Requires accurate coding to differentiate from related conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with obstructive conditions.
  • Documentation gaps: Incomplete symptom descriptions may lead to incorrect coding.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Supraglottitis can significantly impact patient health, especially in pediatric populations where airway compromise is a concern. Understanding the epidemiology of this condition helps healthcare providers recognize at-risk populations and implement preventive measures. Quality measures related to timely diagnosis and management can improve patient outcomes and reduce healthcare utilization, particularly in emergency settings.

ICD-9 vs ICD-10

Supraglottitis can significantly impact patient health, especially in pediatric populations where airway compromise is a concern. Understanding the epidemiology of this condition helps healthcare providers recognize at-risk populations and implement preventive measures. Quality measures related to timely diagnosis and management can improve patient outcomes and reduce healthcare utilization, particularly in emergency settings.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the payer, but thorough documentation can help mitigate common denials. It is advisable to use appropriate CPT codes for any procedures performed, such as laryngoscopy, to ensure accurate billing. Familiarity with payer-specific requirements can enhance the billing process and reduce the risk of claim denials.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J04.30?

J04.30 covers supraglottitis without obstruction, which may arise from infections, allergic reactions, or irritants. It is important to document the absence of airway obstruction to justify the use of this code.

When should J04.30 be used instead of related codes?

J04.30 should be used when the patient presents with supraglottitis symptoms without any signs of airway obstruction. If obstruction is present, J04.2 should be considered.

What documentation supports J04.30?

Documentation should include a detailed history of symptoms, physical examination findings, and any diagnostic tests performed. Clear notes indicating the absence of obstruction are crucial.