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v1.0.0
ICD-10 Guide
ICD-10 CodesJ04.0

J04.0

Acute laryngitis

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/06/2025

Code Description

ICD-10 J04.0 is a billable code used to indicate a diagnosis of acute laryngitis.

Key Diagnostic Point:

Acute laryngitis is an inflammation of the larynx, often resulting from viral infections, overuse of the voice, or irritants such as smoke. Clinically, patients may present with a hoarse voice, sore throat, and difficulty breathing, particularly during inhalation. The anatomy involved includes the larynx, which houses the vocal cords and plays a crucial role in phonation and airway protection. Disease progression can vary; while most cases resolve spontaneously within a week, persistent symptoms may indicate a more severe underlying condition. Diagnostic considerations include a thorough patient history, physical examination, and, if necessary, laryngoscopy to visualize the larynx. Acute laryngitis is often self-limiting, but distinguishing it from chronic laryngitis or other respiratory disorders is essential for appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires differentiation from other respiratory conditions.
  • Treatment complexity: Low, typically managed with supportive care.
  • Documentation requirements: Moderate, necessitating clear documentation of symptoms and treatment.
  • Coding specificity: Medium, as it requires accurate coding to reflect the acute nature of the condition.

Audit Risk Factors

  • Common coding errors: Misclassification with chronic laryngitis or other respiratory conditions.
  • Documentation gaps: Incomplete symptom descriptions or lack of follow-up notes.
  • Billing challenges: Potential denials if documentation does not support the diagnosis.

Specialty Focus

Medical Specialties

Otolaryngology

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Primary Care

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Acute laryngitis significantly impacts patient quality of life, affecting communication and daily activities. It is prevalent in both children and adults, often linked to seasonal respiratory infections. Understanding its epidemiology helps healthcare providers anticipate healthcare utilization patterns, particularly during peak viral seasons. Quality measures may include tracking the frequency of acute laryngitis cases and ensuring appropriate management to reduce complications and improve patient outcomes.

ICD-9 vs ICD-10

Acute laryngitis significantly impacts patient quality of life, affecting communication and daily activities. It is prevalent in both children and adults, often linked to seasonal respiratory infections. Understanding its epidemiology helps healthcare providers anticipate healthcare utilization patterns, particularly during peak viral seasons. Quality measures may include tracking the frequency of acute laryngitis cases and ensuring appropriate management to reduce complications and improve patient outcomes.

Reimbursement & Billing Impact

reimbursement. It is also essential to check for any payer-specific guidelines regarding acute respiratory conditions.

Resources

Clinical References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Coding & Billing References

  • •
    ICD-10 Official Guidelines for J00-J99
  • •
    Clinical Documentation Requirements

Frequently Asked Questions

What specific conditions are covered by J04.0?

J04.0 specifically covers acute laryngitis, which may be caused by viral infections, overuse of the voice, or exposure to irritants. It does not include chronic laryngitis or laryngeal cancer.

When should J04.0 be used instead of related codes?

J04.0 should be used when the patient presents with acute symptoms of laryngitis, particularly if there is a clear history of recent upper respiratory infection or vocal strain. It should not be used for chronic conditions or when other diagnoses are more appropriate.

What documentation supports J04.0?

Documentation should include a detailed history of symptoms, physical examination findings, and any relevant diagnostic tests. Notes should clearly indicate the acute nature of the laryngitis and any treatments provided.