Laryngeal spasm
ICD-10 J38.5 is a billable code used to indicate a diagnosis of laryngeal spasm.
Laryngeal spasm is a sudden involuntary contraction of the muscles in the larynx (voice box), which can lead to temporary airway obstruction and difficulty in breathing. This condition often presents with symptoms such as a sensation of choking, stridor (a high-pitched wheezing sound), and a feeling of tightness in the throat. The anatomy involved includes the laryngeal muscles, the vocal cords, and the surrounding structures that facilitate breathing and phonation. Disease progression can vary; while some patients may experience isolated episodes triggered by irritants, anxiety, or gastroesophageal reflux, others may have recurrent spasms that require medical intervention. Diagnostic considerations include a thorough history and physical examination, laryngoscopy to visualize the larynx, and possibly imaging studies to rule out other respiratory conditions. It is essential to differentiate laryngeal spasm from other causes of airway obstruction, such as anaphylaxis or foreign body aspiration, to ensure appropriate management.
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
J38.5 specifically covers laryngeal spasm, which may be triggered by various factors such as allergies, irritants, or stress. It does not cover other laryngeal conditions like laryngitis or laryngeal tumors.
J38.5 should be used when the primary issue is a spasm of the laryngeal muscles causing airway obstruction. If the condition is due to structural abnormalities or other underlying diseases, different codes may be more appropriate.
Documentation should include a detailed patient history, description of symptoms, any identified triggers, results from laryngoscopy, and treatment plans. Clear evidence of the condition's impact on breathing and voice is also necessary.
