Acute obstructive laryngitis [croup]
ICD-10 J05.0 is a billable code used to indicate a diagnosis of acute obstructive laryngitis [croup].
Acute obstructive laryngitis, commonly known as croup, primarily affects children and is characterized by inflammation of the larynx and subglottic airway. Clinically, it presents with a distinctive barking cough, stridor (a high-pitched wheezing sound), and hoarseness due to the narrowing of the airway. The condition is often viral in origin, with parainfluenza viruses being the most common causative agents. The anatomy involved includes the larynx, trachea, and surrounding soft tissues, which can become edematous, leading to airway obstruction. Disease progression can vary; mild cases may resolve spontaneously, while severe cases can lead to significant respiratory distress requiring immediate medical intervention. Diagnostic considerations include clinical evaluation based on symptoms, history of recent upper respiratory infections, and, in some cases, imaging studies to rule out other causes of stridor. Treatment typically involves corticosteroids to reduce inflammation and, in severe cases, nebulized epinephrine to relieve airway obstruction.
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
J05.0 specifically covers acute obstructive laryngitis (croup) caused by viral infections, primarily affecting children. It is characterized by symptoms such as a barking cough, stridor, and hoarseness.
J05.0 should be used when the patient presents with classic symptoms of croup, particularly when there is evidence of airway obstruction due to laryngeal inflammation. It is distinct from other upper respiratory infections that do not involve significant laryngeal obstruction.
Documentation should include a detailed account of the patient's symptoms, clinical findings (such as stridor and cough), treatment administered, and any response to treatment. History of recent upper respiratory infections should also be noted.