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ICD-10 Guide
ICD-10 CodesJ37

J37

Chronic laryngitis and laryngotracheitis

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

Code Description

ICD-10 J37 is a used to indicate a diagnosis of chronic laryngitis and laryngotracheitis.

Key Diagnostic Point:

Chronic laryngitis and laryngotracheitis (J37) are inflammatory conditions affecting the larynx and trachea, characterized by persistent hoarseness, chronic cough, and throat discomfort. The larynx, located at the upper part of the trachea, plays a crucial role in phonation and protecting the airway during swallowing. Chronic laryngitis often results from prolonged exposure to irritants such as smoke, allergens, or gastroesophageal reflux disease (GERD). The disease can progress from acute inflammation to chronic changes, including edema and hyperplasia of the laryngeal mucosa. Diagnostic considerations include a thorough patient history, laryngoscopy to visualize the larynx, and possibly imaging studies to rule out other conditions. Clinicians should assess for underlying causes, such as chronic sinusitis or vocal strain, which may contribute to the condition. Treatment typically involves addressing the underlying cause, voice therapy, and in some cases, corticosteroids to reduce inflammation. Regular follow-up is essential to monitor symptoms and prevent complications, such as airway obstruction or dysphonia.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Requires thorough evaluation of symptoms and potential underlying causes.
  • Treatment complexity: May involve multiple treatment modalities, including lifestyle changes and medications.
  • Documentation requirements: Detailed documentation of symptoms, treatment plans, and follow-up is necessary.
  • Coding specificity: Requires accurate coding to differentiate from acute laryngitis and other respiratory conditions.

Audit Risk Factors

  • Common coding errors: Misclassification with acute laryngitis (J04) or other respiratory conditions.
  • Documentation gaps: Incomplete patient history or lack of follow-up notes.
  • Billing challenges: Potential denials if documentation does not support the chronic nature of the condition.

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

Pulmonology

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 Codes

Child Codes

2 codes
J37.0
Chronic laryngitis
J37.1
Chronic laryngotracheitis

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

Chronic laryngitis and laryngotracheitis can significantly impact patients' quality of life, affecting communication and respiratory function. The prevalence of these conditions is influenced by environmental factors, occupational exposures, and lifestyle choices, contributing to healthcare utilization patterns. Effective management can improve patient outcomes and reduce the burden on healthcare systems, emphasizing the importance of early diagnosis and intervention in population health strategies.

ICD-9 vs ICD-10

Chronic laryngitis and laryngotracheitis can significantly impact patients' quality of life, affecting communication and respiratory function. The prevalence of these conditions is influenced by environmental factors, occupational exposures, and lifestyle choices, contributing to healthcare utilization patterns. Effective management can improve patient outcomes and reduce the burden on healthcare systems, emphasizing the importance of early diagnosis and intervention in population health strategies.

Reimbursement & Billing Impact

Reimbursement considerations include the need for clear justification of the chronic diagnosis and any associated procedures. Common denials may arise from insufficient documentation or failure to demonstrate medical necessity for ongoing treatment. Adhering to coding best practices, including accurate code selection and comprehensive documentation, can mitigate these risks and ensure appropriate reimbursement.

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 J37?

J37 covers chronic laryngitis and laryngotracheitis, which may arise from chronic irritants, infections, or systemic diseases. It includes conditions characterized by persistent inflammation of the larynx and trachea, leading to symptoms such as hoarseness and chronic cough.

When should J37 be used instead of related codes?

J37 should be used when the condition is chronic and persistent, differentiating it from acute conditions like J04 (acute laryngitis). It is essential to document the chronic nature and any contributing factors to justify the use of this code.

What documentation supports J37?

Documentation should include a detailed patient history, symptom descriptions, results from laryngoscopy, and any treatments attempted. Follow-up notes indicating the chronicity of symptoms and response to treatment are also crucial.