Acute obstructive laryngitis [croup] and epiglottitis
ICD-10 J05 is a used to indicate a diagnosis of acute obstructive laryngitis [croup] and epiglottitis.
Acute obstructive laryngitis, commonly known as croup, is a viral infection that primarily affects children, characterized by inflammation of the larynx and trachea, leading to airway obstruction. The clinical presentation typically includes a distinctive barking cough, stridor (a high-pitched wheezing sound), and hoarseness. The condition often follows a preceding upper respiratory infection, with symptoms usually worsening at night. The anatomy involved includes the larynx, epiglottis, and surrounding structures, which become inflamed and narrowed, potentially leading to respiratory distress. Disease progression can vary; while most cases are mild and self-limiting, severe cases may require hospitalization due to significant airway obstruction. Diagnostic considerations include clinical evaluation based on history and physical examination, as imaging is rarely needed. Differential diagnoses may include epiglottitis, which is a more severe condition characterized by inflammation of the epiglottis, often requiring immediate medical intervention. Prompt recognition and management are crucial to prevent complications such as respiratory failure.
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
J05 covers acute obstructive laryngitis (croup) and epiglottitis, both of which involve inflammation of the upper airway structures. Croup is primarily viral, while epiglottitis can be bacterial, often requiring different management approaches.
J05 should be used when the clinical presentation indicates acute obstructive laryngitis or epiglottitis, particularly when there is evidence of airway obstruction. If the patient presents with mild symptoms without obstruction, consider using J06 for upper respiratory infections.
Documentation should include a detailed history of symptoms, physical examination findings (such as stridor and cough), treatment administered, and any follow-up care. Evidence of airway assessment and response to treatment is critical.
