Acute laryngitis and tracheitis J04-

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (B95-B97
    ICD-10-CM Range B95-B97

    Bacterial and viral infectious agents

    Note
    • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
    • B95 Streptococcus, Staphylococcus, and Enter...
    • B96 Other bacterial agents as the cause of d...
    • B97 Viral agents as the cause of diseases cl...
    ) to identify infectious agent.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • influenza, if present, such as:
  • influenza due to identified novel influenza A virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J09.X2

    Influenza due to identified novel influenza A virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus NOS
    • Influenza due to identified novel influenza A virus with laryngitis
    • Influenza due to identified novel influenza A virus with pharyngitis
    • Influenza due to identified novel influenza A virus with upper respiratory symptoms
    Use Additional
    • code, if applicable, for associated:
    • pleural effusion (J91.8)
    • sinusitis (J01.-)
    J09.X2
    )
  • influenza due to other identified influenza virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J10.1

    Influenza due to other identified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza due to other identified influenza virus NOS
    • Influenza due to other identified influenza virus with laryngitis
    • Influenza due to other identified influenza virus with pharyngitis
    • Influenza due to other identified influenza virus with upper respiratory symptoms
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J10.1
    )
  • influenza due to unidentified influenza virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J11.1
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J04. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute obstructive laryngitis [croup] and epiglottitis (
    ICD-10-CM Diagnosis Code J05
    • J05 Acute obstructive laryngitis [croup] and epig...
      • J05.0 Acute obstructive laryngitis [croup]
      • J05.1 Acute epiglottitis
        • J05.10 …… without obstruction
        • J05.11 …… with obstruction
    J05.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (J04) and the excluded code together.
  • laryngismus (stridulus) (
    ICD-10-CM Diagnosis Code J38.5

    Laryngeal spasm

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Laryngismus (stridulus)
    J38.5
    )
Codes
  • J04 Acute laryngitis and tracheitis
    • J04.0 Acute laryngitis
    • J04.1 Acute tracheitis
      • J04.10 …… without obstruction
      • J04.11 …… with obstruction
    • J04.2 Acute laryngotracheitis
    • J04.3 Supraglottitis, unspecified
      • J04.30 …… without obstruction
      • J04.31 …… with obstruction