Acute epiglottitis with obstruction
ICD-10 J05.11 is a billable code used to indicate a diagnosis of acute epiglottitis with obstruction.
Acute epiglottitis with obstruction is a life-threatening condition characterized by inflammation of the epiglottis, which can lead to airway obstruction. The epiglottis is a flap of tissue located at the base of the tongue that prevents food and liquids from entering the trachea during swallowing. In acute epiglottitis, typically caused by bacterial infections such as Haemophilus influenzae type b (Hib), the epiglottis becomes swollen and can obstruct the airway, leading to respiratory distress. Clinically, patients may present with symptoms such as severe sore throat, difficulty swallowing (dysphagia), drooling, and stridor (a high-pitched wheezing sound). The disease can progress rapidly, often within hours, necessitating immediate medical attention. Diagnosis is primarily clinical, supported by imaging studies such as lateral neck X-rays or direct visualization via laryngoscopy. Prompt recognition and intervention are critical to prevent respiratory failure. Treatment typically involves airway management, antibiotics, and corticosteroids to reduce inflammation.
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
J05.11 specifically covers acute epiglottitis with obstruction, primarily caused by bacterial infections. It is characterized by significant swelling of the epiglottis leading to airway compromise, and it is crucial to differentiate it from other forms of epiglottitis that do not present with obstruction.
J05.11 should be used when the patient presents with acute epiglottitis that is causing obstruction of the airway. If the epiglottitis is present without obstruction, the appropriate code would be J05.10. Accurate assessment of the patient's respiratory status is vital for correct coding.
Documentation for J05.11 should include a detailed clinical assessment noting symptoms such as stridor, drooling, and difficulty breathing, as well as any imaging studies performed and the treatment plan, including airway management and antibiotic therapy.
