Paralysis of vocal cords and larynx, unspecified
ICD-10 J38.00 is a billable code used to indicate a diagnosis of paralysis of vocal cords and larynx, unspecified.
Paralysis of the vocal cords and larynx, unspecified, refers to the loss of function in the vocal cords, which can significantly impact speech and breathing. The vocal cords, located in the larynx, are essential for phonation and airway protection. This condition may arise from various etiologies, including neurological disorders, trauma, or surgical complications. Clinically, patients may present with hoarseness, breathlessness, or stridor, depending on the severity of the paralysis. Disease progression can vary; some patients may experience spontaneous recovery, while others may develop chronic voice changes or respiratory complications. Diagnostic considerations include laryngoscopy to visualize vocal cord movement, neurological evaluations, and imaging studies to identify underlying causes. Accurate diagnosis is crucial for effective management, which may involve speech therapy, surgical interventions, or addressing the underlying condition causing the paralysis.
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
J38.00 encompasses unspecified paralysis of the vocal cords and larynx, which may result from neurological disorders, trauma, or post-surgical complications. It does not specify whether the paralysis is unilateral or bilateral, nor does it indicate the underlying cause.
J38.00 should be used when the specific type of vocal cord paralysis is not documented or when the cause is unknown. If the documentation specifies unilateral or bilateral paralysis, or if a specific cause is identified, related codes such as J38.01 or J38.02 should be used.
Documentation should include a detailed clinical history, results from laryngoscopy, and any neurological evaluations performed. Clear notes on the patient's symptoms and the impact on speech and breathing are essential to support the use of J38.00.
