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ICD-10 Guide
ICD-10 CodesJ38

J38

Diseases of vocal cords and larynx, not elsewhere classified

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

Code Description

ICD-10 J38 is a used to indicate a diagnosis of diseases of vocal cords and larynx, not elsewhere classified.

Key Diagnostic Point:

The ICD-10 code J38 encompasses diseases of the vocal cords and larynx that are not classified elsewhere. The larynx, commonly known as the voice box, plays a crucial role in phonation, respiration, and protecting the airway during swallowing. Conditions classified under J38 may include laryngitis, vocal cord nodules, polyps, and other laryngeal disorders. Clinical presentations often involve hoarseness, voice changes, throat discomfort, and difficulty breathing or swallowing. Disease progression can vary; acute conditions like laryngitis may resolve with treatment, while chronic issues such as vocal cord nodules can lead to persistent voice problems if untreated. Diagnostic considerations include a thorough history, physical examination, and possibly laryngoscopy to visualize the larynx and vocal cords. It is essential to differentiate these conditions from other respiratory disorders to ensure appropriate management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Diagnostic complexity: Moderate, as it requires specific examinations and differential diagnoses.
  • Treatment complexity: Varies from conservative management to surgical interventions.
  • Documentation requirements: Requires detailed clinical notes and possibly imaging or specialist reports.
  • Coding specificity: Moderate, as it necessitates understanding of related conditions and their distinctions.

Audit Risk Factors

  • Common coding errors: Misclassification of laryngeal conditions.
  • Documentation gaps: Incomplete clinical notes regarding symptoms and treatment.
  • Billing challenges: Potential denials due to lack of specificity in documentation.

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

11 codes
J38.0
Paralysis of vocal cords and larynx
J38.00
Paralysis of vocal cords and larynx, unspecified
J38.01
Paralysis of vocal cords and larynx, unilateral
J38.02
Paralysis of vocal cords and larynx, bilateral
J38.1
Polyp of vocal cord and larynx
J38.2
Nodules of vocal cords
J38.3
Other diseases of vocal cords
J38.4
Edema of larynx
J38.5
Laryngeal spasm
J38.6
Stenosis of larynx
J38.7
Other diseases of larynx

Related CPT Codes

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

Conditions affecting the vocal cords and larynx can significantly impact communication and quality of life. Understanding the epidemiology of these disorders is crucial, as they can affect diverse populations, including professional voice users. Effective management of laryngeal diseases can lead to improved patient outcomes and reduced healthcare utilization, highlighting the importance of accurate coding and documentation.

ICD-9 vs ICD-10

Conditions affecting the vocal cords and larynx can significantly impact communication and quality of life. Understanding the epidemiology of these disorders is crucial, as they can affect diverse populations, including professional voice users. Effective management of laryngeal diseases can lead to improved patient outcomes and reduced healthcare utilization, highlighting the importance of accurate coding and documentation.

Reimbursement & Billing Impact

Reimbursement considerations include verifying the medical necessity of diagnostic tests and treatments. Common denials may arise from insufficient documentation or lack of specificity in the diagnosis. Coders should ensure that all relevant clinical information is included in the patient's record to support the billed services and avoid audits.

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 J38?

J38 covers a range of conditions affecting the vocal cords and larynx, including laryngitis, vocal cord nodules, polyps, and laryngeal edema. Each condition has specific diagnostic criteria, often requiring laryngoscopy for confirmation.

When should J38 be used instead of related codes?

J38 should be used when the condition specifically involves the vocal cords or larynx and is not classified under other codes. For example, if a patient has laryngitis without a specified cause, J38 is appropriate, whereas J37 would be used for chronic laryngitis.

What documentation supports J38?

Documentation for J38 should include a detailed history of symptoms, physical examination findings, results from laryngoscopy, and any treatment plans. Clear notes on the duration and severity of symptoms are essential for accurate coding.