Paralysis of vocal cords and larynx
ICD-10 J38.0 is a used to indicate a diagnosis of paralysis of vocal cords and larynx.
Paralysis of the vocal cords and larynx, classified under J38.0, refers to the loss of function of the vocal cords, which can significantly affect speech and breathing. The vocal cords, located in the larynx, are essential for phonation and airway protection. Paralysis can result from various etiologies, including neurological disorders, trauma, surgical complications, or malignancies. Clinically, patients may present with hoarseness, breathiness, or complete loss of voice (aphonia), along with potential respiratory distress due to compromised airway function. The progression of vocal cord paralysis can vary; it may be acute or chronic, and in some cases, it can resolve spontaneously or require intervention. Diagnostic considerations include laryngoscopy to visualize the vocal cords, imaging studies to identify underlying causes, and neurological evaluations to assess for associated conditions. Accurate diagnosis is crucial for determining the appropriate management and treatment options, which may include voice therapy, surgical interventions, or addressing the underlying cause.
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
J38.0 covers paralysis of the vocal cords due to various causes, including neurological conditions like stroke, trauma, surgical complications, and tumors affecting the larynx. It specifically refers to the functional impairment of the vocal cords without specifying the underlying etiology.
J38.0 should be used when there is a clear diagnosis of vocal cord paralysis, particularly when it is the primary condition affecting the patient's ability to speak or breathe. It should be differentiated from other codes that may describe laryngeal disorders without paralysis.
Documentation for J38.0 should include clinical findings from laryngoscopy, imaging studies that rule out other conditions, and notes detailing the patient's symptoms, history, and any neurological evaluations performed.
