Paralysis of vocal cords and larynx, bilateral
ICD-10 J38.02 is a billable code used to indicate a diagnosis of paralysis of vocal cords and larynx, bilateral.
Bilateral paralysis of the vocal cords and larynx is a condition characterized by the loss of motor function in both vocal cords, which can significantly impair phonation and respiratory function. The larynx, located in the neck, houses the vocal cords and plays a crucial role in breathing, swallowing, and voice production. Patients may present with symptoms such as hoarseness, breathlessness, stridor, and difficulty swallowing. The condition can result from various etiologies, including neurological disorders (e.g., stroke, multiple sclerosis), trauma, or surgical complications. Disease progression may lead to severe airway obstruction, necessitating urgent intervention. Diagnostic considerations include laryngoscopy to visualize vocal cord movement, imaging studies to assess underlying causes, and neurological evaluations. Early diagnosis and management are essential to prevent complications such as aspiration pneumonia and to improve quality of life.
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
J38.02 covers bilateral vocal cord paralysis due to various causes, including neurological disorders, trauma, or post-surgical complications. It is essential to document the underlying cause for accurate coding.
J38.02 should be used when both vocal cords are paralyzed, leading to significant respiratory and phonatory issues. It is important to differentiate it from unilateral paralysis codes (J38.01) based on clinical findings.
Documentation should include a detailed history and physical examination, results from laryngoscopy, imaging studies if applicable, and any neurological evaluations that support the diagnosis of bilateral vocal cord paralysis.
