Supraglottitis, unspecified, with obstruction
ICD-10 J04.31 is a billable code used to indicate a diagnosis of supraglottitis, unspecified, with obstruction.
Supraglottitis is an inflammation of the supraglottic region of the larynx, which includes the epiglottis and surrounding structures. This condition can lead to significant airway obstruction, particularly in pediatric populations, where it is often caused by infections from bacteria such as Haemophilus influenzae type b (Hib). Clinically, patients may present with symptoms including severe sore throat, difficulty swallowing, drooling, stridor, and respiratory distress. The anatomy involved primarily includes the epiglottis, arytenoids, and surrounding soft tissues, which can become edematous and obstruct the airway. Disease progression can be rapid, necessitating prompt recognition and intervention to prevent life-threatening airway compromise. Diagnostic considerations include a thorough clinical evaluation, imaging studies, and possibly direct visualization via laryngoscopy to assess the degree of obstruction and inflammation. Treatment typically involves airway management, antibiotics, and possibly 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
J04.31 covers cases of supraglottitis that present with airway obstruction, typically due to infectious causes. It is important to document the presence of obstruction and the clinical severity to justify the use of this code.
J04.31 should be used when there is clear evidence of supraglottitis with obstruction. If the condition is present without obstruction, J04.30 would be more appropriate. Documentation should reflect the clinical findings supporting the diagnosis.
Documentation should include a detailed clinical assessment, evidence of airway obstruction (e.g., stridor, respiratory distress), and any imaging or laryngoscopy findings that confirm the diagnosis of supraglottitis with obstruction.
