Nodules of vocal cords
ICD-10 J38.2 is a billable code used to indicate a diagnosis of nodules of vocal cords.
Nodules of the vocal cords, commonly referred to as vocal cord nodules or singer's nodules, are benign growths that develop on the vocal cords due to chronic vocal strain or misuse. Clinically, patients may present with hoarseness, a breathy voice, and vocal fatigue. The anatomy involved includes the larynx, specifically the vocal folds, which are essential for sound production. Disease progression can lead to increased vocal strain, resulting in worsening symptoms and potential impact on communication abilities. Diagnosis typically involves laryngoscopy, where the vocal cords are visually examined for nodules. Other diagnostic considerations may include voice assessments and patient history to rule out other conditions such as polyps or laryngeal cancer. Treatment often involves voice therapy, lifestyle modifications, and in some cases, surgical intervention if conservative measures fail. Early recognition and management are crucial to prevent long-term vocal damage.
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
J38.2 specifically covers vocal cord nodules, which are typically bilateral and associated with vocal overuse. It does not include other laryngeal lesions such as polyps or cysts.
J38.2 should be used when the diagnosis is specifically vocal cord nodules, particularly when there is a clear history of vocal strain. Related codes may apply if the condition is different or if there are additional findings.
Documentation should include a detailed history of vocal use, results from laryngoscopy, and any voice assessments performed. Treatment plans and responses to therapy should also be documented.