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v1.0.0
ICD-10 Guide
ICD-10 CodesQ31.3

Q31.3

Billable

Laryngocele

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 Q31.3 is a billable code used to indicate a diagnosis of laryngocele.

Key Diagnostic Point:

Laryngocele is a congenital malformation characterized by an abnormal air-filled sac that forms in the larynx, typically arising from the ventricle of the larynx. This condition can lead to airway obstruction, hoarseness, and respiratory distress, particularly in pediatric patients. Laryngoceles can be classified as internal, external, or combined, depending on their location and extent. The condition may be associated with other congenital anomalies of the respiratory system, such as choanal atresia or tracheoesophageal fistula, which can complicate the clinical picture. Diagnosis is often made through imaging studies, such as CT scans or laryngoscopy, which reveal the presence of the laryngocele. Treatment typically involves surgical intervention to excise the laryngocele and address any associated airway issues. Early diagnosis and management are crucial to prevent complications, including respiratory failure.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation and severity of symptoms
  • Potential association with other congenital anomalies
  • Need for imaging studies for accurate diagnosis
  • Surgical intervention may vary based on individual anatomy

Audit Risk Factors

  • Inadequate documentation of associated congenital anomalies
  • Failure to specify the type of laryngocele (internal, external, combined)
  • Lack of imaging study results in the medical record
  • Misclassification of laryngocele as a different respiratory condition

Specialty Focus

Medical Specialties

Pediatrics

Documentation Requirements

Detailed clinical notes on respiratory symptoms, imaging results, and any associated congenital conditions.

Common Clinical Scenarios

Pediatric patients presenting with stridor, respiratory distress, or recurrent respiratory infections.

Billing Considerations

Consideration of the patient's age and developmental stage when assessing respiratory function and surgical options.

Genetics

Documentation Requirements

Genetic evaluation reports, family history of congenital conditions, and any chromosomal studies performed.

Common Clinical Scenarios

Cases where laryngocele is part of a syndrome or associated with chromosomal abnormalities.

Billing Considerations

Understanding the genetic implications of congenital malformations and their potential hereditary patterns.

Coding Guidelines

Inclusion Criteria

Use Q31.3 When
  • Follow the ICD
  • CM guidelines for coding congenital malformations, ensuring accurate documentation of the condition and any associated anomalies
  • Use additional codes as necessary to capture the full clinical picture

Exclusion Criteria

Do NOT use Q31.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31540CPT Code

Laryngoscopy, diagnostic, with or without biopsy

Clinical Scenario

Used to evaluate the larynx in cases of suspected laryngocele.

Documentation Requirements

Document indications for laryngoscopy and findings related to laryngocele.

Specialty Considerations

Pediatric specialists should ensure age-appropriate techniques are used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of congenital conditions like laryngocele, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of congenital conditions like laryngocele, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common symptoms of laryngocele?

Common symptoms include stridor, hoarseness, respiratory distress, and recurrent respiratory infections. Symptoms may vary based on the size and type of laryngocele.